Mithun N Medagangoda, DO is a
Student In An Organized Health Care Education/training Program physician based in Fresno, California. Mithun N Medagangoda is licensed to practice in * (Not Available) (license number ) and his current practice location is 4411 E Kings Canyon Rd # 319, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 600-2382.
NPI number for Mithun N Medagangoda is 1033748702 and his current mailing address is 400 W Mineral King Ave, Visalia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033748702.
Physician's Profile
Full Name | Mithun N Medagangoda |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 4411 E Kings Canyon Rd # 319, Fresno, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033748702
- Provider Enumeration Date: 04/05/2020
- Last Update Date: 02/14/2022
Medical Identifiers
Medical identifiers for Mithun N Medagangoda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033748702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | PTL1706 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mithun N Medagangoda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mithun N Medagangoda, DO 400 W Mineral King Ave, Visalia, CA 93291-6237 Ph: () - | Mithun N Medagangoda, DO 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 Ph: (559) 600-2382 |
Reviews and Comments