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Export Provider Record NPI 1275500712
Sandra D DayaratnaMD
Active
NPI Number1275500712
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1275500712
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-03-03
Last Updated2014-07-08
Mailing Address833 Chestnut Street, 1st Floor
Philadelphia, PA 19107-4420
United States
Phone: (215) 955-5000 | Fax: (215) 923-1089
📍 View Map
Primary Practice Address833 Chestnut Street, 1st Floor
Philadelphia, PA 19107-4420
United States
Phone: (215) 955-5000 | Fax: (215) 923-1089
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)OH000000221069UNISON
Other (non-Medicare)OH000000509157ANTHEM
Other (non-Medicare)-1895243First Health
Other (non-Medicare)-206983MA Licence
MEDICAIDOH2703873-
Other (non-Medicare)OH414958WELLCARE
Other (non-Medicare)-51020Fallon
Other (non-Medicare)-7228135Aetna NON HMO
Other (non-Medicare)OH740798BUCKEYE
Other (non-Medicare)-9676427001Cigna
Other (non-Medicare)-J22704Blue Care Elect
Other (non-Medicare)-J22704HMO Blue
Other (non-Medicare)-206983Medicare Preferred/Tufts
Other (non-Medicare)-2339545Aetna HMO
Other (non-Medicare)OH7228135AETNA
Other (non-Medicare)-7400041Evercare
Other (non-Medicare)OHP00422677RAILROAD MEDICARE
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207V00000X – Obstetrics & GynecologyMA206983
No207V00000X – Obstetrics & GynecologyOH35-088723
Yes207V00000X – Obstetrics & GynecologyPAMD437090
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About NPI 1275500712

Sandra D Dayaratna MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275500712. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275500712?

NPI 1275500712 belongs to Sandra D Dayaratna MD, a Obstetrics & Gynecology in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275500712 active?

The current status of NPI 1275500712 in the NPPES registry is Active. The record was last updated on 2014-07-08.

What specialty is NPI 1275500712?

NPI 1275500712 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275500712?

You can verify NPI 1275500712 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275500712?

The primary practice address on file for NPI 1275500712 is 833 Chestnut Street, Philadelphia, PA 19107-4420. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275500712 issued?

NPI 1275500712 was first issued (enumerated) on 2006-03-03. The NPPES record was last updated on 2014-07-08.

Practice Location Map

Sandra D Dayaratna is located at 833 Chestnut Street, Philadelphia, PA. Use the map below to find directions or verify the practice location.

📍 833 Chestnut Street, Philadelphia, PA 19107-4420  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sandra D Dayaratna. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275500712. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & Gynecology206983MA
Obstetrics & Gynecology35-088723OH
Obstetrics & GynecologyMD437090PA
Data Verified from CMS NPPES Last synced: 2026-07-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162