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DR. HARIKRISHNA AMBATI MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1154998730
Individual Registrant:DR. HARIKRISHNA AMBATI MD
Gender: M
Sole Proprietor
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
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: --
Tel: 408-571-9333 Fax: --
Registration Information:
NPI: 1154998730
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
