Eranki, Ambika Pallavi

Eranki, Ambika Pallavi is an sole proprietor health care provider with primary practice located at 725 Irving Ave Ste 311, Syracuse NY 13210-1603. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Eranki, Ambika Pallavi can be contacted via phone (315) 464-5533.

Contact Information

Primary practice address
725 Irving Ave Ste 311 Syracuse NY 13210-1603
Phone: (315) 464-5533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 277363 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301093138 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301093138 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 277363 New York

Profile Details

NPI number 1659528123
LBN Legal business name Eranki, Ambika Pallavi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2008
Last updated Sep 24th, 2020 - 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 1659528123 NPPES
New York MEDICAID 04015427

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