Amburgey, Odul Aktan

Amburgey, Odul Aktan is an individual health care provider with primary practice located at 2577 Samaritan Drive Suite 705, San Jose CA 95124-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Amburgey, Odul Aktan can be contacted via phone (650) 404-8210.

Contact Information

Primary practice address
2577 Samaritan Drive Suite 705 San Jose CA 95124-4105
Phone: (650) 404-8210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X C141970 California
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 35.095547 Ohio

Profile Details

NPI number 1619196466
LBN Legal business name Amburgey, Odul Aktan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 25th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619196466 NPPES
Ohio MEDICAID 3090702

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