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DR. HARIKRISHNA AMBATI MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1154998730

Individual Registrant:
DR. HARIKRISHNA  AMBATI MD
Gender: M
Sole Proprietor

Location and contact information for practice:
5451 WALNUT AVE  CHINO, CA 91710-2609 US
Tel: 909-464-8723  Fax: 909-464-8737

Contact information for business:
9067 SYCAMORE AVE BUILDING 6 UNIT 109  MONTCLAIR, CA 91763 US
Tel: 408-571-9333  Fax: --

Registration Information:
NPI: 1154998730
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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