NIYASHA WIJEDASA - NPI 1992693626 - Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Niyasha Wijedasa NPPES

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

NIYASHA WIJEDASA (NPI 1992693626) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1992693626

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNIYASHA WIJEDASA

Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098

Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098

Phone(215) 456-7130

Sole ProprietorNo

Enumeration DateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1992693626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5501 OLD YORK RD STE 1, Philadelphia, PA 19141

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