Ambalavanan, Surianarayanan

Ambalavanan, Surianarayanan is an individual health care provider with primary practice located at 801 Pro Dr Ste D4 Vanan Ent & Sinus Center, Celina OH 45822-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ambalavanan, Surianarayanan can be contacted via phone (419) 586-6480.

Contact Information

Primary practice address
801 Pro Dr Ste D4 Vanan Ent & Sinus Center Celina OH 45822-3307
Phone: (419) 586-6480
Fax: (419) 586-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35-090880 Ohio

Profile Details

NPI number 1922061910
LBN Legal business name Ambalavanan, Surianarayanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 5th, 2020 - about 4 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 1922061910 NPPES
Ohio MEDICAID 2820755
Ohio Other 1184652539
Ohio Other 9934723

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