National Provider Identifier
Konara Mudiyanselage Sachith Bandara, MD
Konara Mudiyanselage Sachith Bandara, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 922-4829.
Profile Overview
- NPI
- 1659753432
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 29, 2015
- Last Updated
- May 04, 2020
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621
Phone: (585) 922-4829
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Internal Medicine Physician (207R00000X)
- Hospitalist Physician (208M00000X)
Full Record
- NPI
- 1659753432
- Entity Type
- Individual
- Last Name
- Bandara
- First Name
- Konara Mudiyanselage
- Middle Name
- Sachith
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1304
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 922-4829
- Enumeration Date
- June 29, 2015
- Last Updated
- May 04, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Hospitalist Physician (208M00000X)