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KUMUDINIE C FONSEKA MD
NPI 1376653089
Internal Medicine in St Clair Shores, MI

Active since August 30, 2006
21327 HARPER AVENUE, SUITE D, ST CLAIR SHORES, MI 48080(586) 772-2300(586) 772-7111 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kumudinie C Fonseka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUMUDINIE C FONSEKA MD (NPI 1376653089) is an individual internal medicine provider in St Clair Shores, Michigan, licensed in Michigan (4301049484) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1376653089
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKUMUDINIE C FONSEKACredential: MD
Location Address21327 HARPER AVENUE, SUITE DSt Clair Shores, MI 48080
Mailing Address21327 Harper Avenue, Suite DSt Clair Shores, MI 48080 · (586) 772-2300 · Fax (586) 772-7111
Phone(586) 772-2300
Fax(586) 772-7111
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 22, 2012
✔ NPI 1376653089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301049484
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
21327 HARPER AVENUE, St Clair Shores, MI 48080
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Other Identifiers 2

Medicare UPINF06114
Medicaid1943271MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kumudinie Fonseka's NPI number?

The NPI number for Kumudinie Fonseka is 1376653089. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kumudinie Fonseka located?

Kumudinie Fonseka practices at 21327 Harper Avenue Suite D, St Clair Shores, MI 48080. The listed phone number is (586) 772-2300.

What is Kumudinie Fonseka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kumudinie Fonseka was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.