Krishnan, Ambujam R

Krishnan, Ambujam R is an sole proprietor health care provider with primary practice located at 15645 Farmington Rd , Livonia MI 48154-2851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Krishnan, Ambujam R can be contacted via phone (734) 464-7600.

Contact Information

Primary practice address
15645 Farmington Rd Livonia MI 48154-2851
Fax: (734) 464-9797
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X AK043104 Michigan

Profile Details

NPI number 1548231749
LBN Legal business name Krishnan, Ambujam R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Sep 29th, 2015 - about 10 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 1548231749 NPPES
Michigan MEDICAID 1783169

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