Dildeep, Ambujakshan
Dildeep, Ambujakshan is an individual health care provider with primary practice located at 3737 Southern Blvd Suite 2000, Kettering OH 45429-1262. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dildeep, Ambujakshan can be contacted via phone (937) 610-1915.Contact Information
Primary practice address
3737 Southern Blvd Suite 2000
Kettering OH 45429-1262
Phone: (937) 610-1915
Fax: (937) 610-1917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35122500 | Ohio |
Profile Details
| NPI number | 1184858334 |
|---|---|
| LBN Legal business name | Dildeep, Ambujakshan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2009 |
| Last updated | Sep 16th, 2014 - about 11 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 | 1184858334 | NPPES |
| Ohio | MEDICAID | 0094140 |
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