Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shantha K Nallaperuma

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083366884

Shantha K Nallaperuma is a Student in an Organized Health Care Education/Training Program in Burke, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5534 Crossrail Ct
Burke, VA 22015-1810
Phone: (571) 471-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083366884
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022
Mailing address5534 Crossrail Ct, Burke, VA 22015-1810

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