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Search › Pennsylvania › 207R00000X

Mabodawilage Hematillake, MD

NPI 1407967821 · on the registry since 2006

Practice

Address
2907 Pleasant Valley Blvd
Altoona, PA 16602
Phone
(814) 943-8164
Organisation at this address
Altoona Vamc
Altoona Vamc
Department Of Veterans Affairs
James E Van Zandt Medical Center
James E. Van Zandt Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
174

Additional practice sites

  • 2801 Santa Maria Way, Santa Maria, CA

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207R00000X
207R00000X
Licence states on file
ID, UT, CA, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania