Ambavaram, Sukanya

Ambavaram, Sukanya is an sole proprietor health care provider with primary practice located at 2920 N Stemmons Fwy , Dallas TX 75247. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Ambavaram, Sukanya can be contacted via phone (214) 630-2331.

Contact Information

Primary practice address
2920 N Stemmons Fwy Dallas TX 75247
Phone: (214) 630-2331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X N7052 Texas
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X N7052 Texas

Profile Details

NPI number 1780828772
LBN Legal business name Ambavaram, Sukanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2009
Last updated Feb 16th, 2019 - about 5 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 1780828772 NPPES
Texas MEDICAID 219946501

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