Ambalavanan, Siva
Ambalavanan, Siva is an individual health care provider with primary practice located at 500 Lincoln Park Blvd Suite 100, Kettering OH 45429-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ambalavanan, Siva can be contacted via phone (937) 222-3118.Contact Information
Primary practice address
500 Lincoln Park Blvd Suite 100
Kettering OH 45429-6410
Phone: (937) 222-3118
Fax: (937) 222-1436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 74675 | Ohio |
Profile Details
| NPI number | 1346222643 |
|---|---|
| LBN Legal business name | Ambalavanan, Siva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jan 23rd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346222643 | NPPES |
| Other | 390005871 | MEDICARE RAILROAD | |
| Other | D74675 | MEDICARE RAILROAD | |
| Other | 2204490 | MEDICARE RAILROAD | |
| MEDICAID | 2102905 | MEDICARE RAILROAD | |
| Other | 000000035826 | MEDICARE RAILROAD | |
| Other | 310821503030 | MEDICARE RAILROAD | |
| Other | 3108215037C16 | MEDICARE RAILROAD | |
| Other | 390005871 | MEDICARE RAILROAD |
Popular Providers
-
Gupta, Rakesh K
500 Lincoln Park Blvd Suite 100, Kettering OH 45429-3492 -
Lee, Sungchun
21410 N 19Th Ave Suite 131, Phoenix AZ 85027-2738 -
Mhaskar, Nilesh Suresh
500 Lincoln Park Blvd Suite 100, Kettering OH 45429-6410 -
Murphy, Michael N
410 Fleischmann Way Suite B, Carson City NV 89703-3973 -
Palubiak, David J
2020 Riverside Dr Suite 200, Green Bay WI 54301-2300 -
Laurel, Edgardo
2545 E Thomas Rd Suite 120, Phoenix AZ 85016-7969 -
Aly, Aly E
3366 Nw Expressway Bldg D Suite 730, Oklahoma City OK 73112-4462 -
Kandarpa, Madhu
1362 E Stroop Rd , Kettering OH 45429-4926