SIVASANKARAN AMBALAVANAN

RENAL PHYSICIANS INC

Dr SIVASANKARAN AMBALAVANAN is a male medical professional, specializing in Nephrology. He graduated in 1985.

Contact

RENAL PHYSICIANS INC

1427 BUSINESS CTR CT
DAYTON
OH
454103300

Tel: 9372540161

SIVASANKARAN AMBALAVANAN Information

Npi 1346222643
Pac Id 9638086341
Professional Enrollment Id I20080811000501
Last Name AMBALAVANAN
First Name SIVASANKARAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1985
Primary Specialty NEPHROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RENAL PHYSICIANS INC
Group Practice Pac Id 5193624161
Number Of Group Practice Members 15
Line 1 Street Address 1427 BUSINESS CTR CT
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DAYTON
State OH
Zip Code 454103300
Phone Number 9372540161
Hospital Affiliation Ccn 1 360051
Hospital Affiliation Lbn 1 MIAMI VALLEY HOSPITAL
Hospital Affiliation Ccn 2 360239
Hospital Affiliation Lbn 2 KETTERING MEDICAL CENTER - SYCAMORE
Hospital Affiliation Ccn 3 360133
Hospital Affiliation Lbn 3 GRANDVIEW AND SOUTHVIEW HOSPITALS
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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