Amba, Samridhi

Amba, Samridhi is an individual health care provider with primary practice located at 827 Spring St , Medford OR 97504-6104. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Amba, Samridhi can be contacted via phone (541) 732-7600.

Contact Information

Primary practice address
827 Spring St Medford OR 97504-6104
Phone: (541) 732-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD198413 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD198413 Oregon

Profile Details

NPI number 1023435450
LBN Legal business name Amba, Samridhi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Mar 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023435450 NPPES
Oregon MEDICAID 500780152

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