Ambi Physician Pc

LBN: Ambi Physician Pc
Ambi Physician Pc is an health care organization with primary practice located at 7485 Oakwood Rd 103, Glen Burnie MD 21061. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ambi Physician Pc can be contacted via phone (410) 766-6447, or through Ambalavanar, Kandasamy via phone (410) 766-6447.

Contact Information

Primary practice address
7485 Oakwood Rd 103 Glen Burnie MD 21061
Fax: (410) 766-9780
Website:
Authorized official contact:
Name: Ambalavanar, Kandasamy Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X D0051596 Maryland

Profile Details

NPI number 1750562898
LBN Legal business name Ambi Physician Pc
DBA Doing business as
Authorized official Ambalavanar, Kandasamy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750562898 NPPES
Maryland MEDICAID 147400600

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