Provider Demographics
NPI:1992968002
Name:PILAPITIYA, LESHITHA NUWAN (MD)
Entity type:Individual
Prefix:DR
First Name:LESHITHA
Middle Name:NUWAN
Last Name:PILAPITIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19021 US HIGHWAY 285
Mailing Address - Street 2:
Mailing Address - City:LA JARA
Mailing Address - State:CO
Mailing Address - Zip Code:81140-9410
Mailing Address - Country:US
Mailing Address - Phone:719-274-6000
Mailing Address - Fax:719-274-6038
Practice Address - Street 1:19021 US HIGHWAY 285
Practice Address - Street 2:
Practice Address - City:LA JARA
Practice Address - State:CO
Practice Address - Zip Code:81140-0639
Practice Address - Country:US
Practice Address - Phone:719-274-6000
Practice Address - Fax:719-274-6038
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT187969207Q00000X
CO0048145207Q00000X
CO48145207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO77027230Medicaid