Dr SIVA AMBALAM is a male medical professional, specializing in Family Medicine. He graduated in 2012 from Chicago College Of Osteopathic Medicine.
INOVA PHYSICIAN PARTNERS INC
3914 CENTREVILLE RD
SUITE 250
CHANTILLY
VA
201513290
Tel: 7034351223
| Npi | 1619234788 |
| Pac Id | 7416201819 |
| Professional Enrollment Id | I20181126000015 |
| Last Name | AMBALAM |
| First Name | SIVA |
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| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | INOVA PHYSICIAN PARTNERS INC |
| Group Practice Pac Id | 2466581772 |
| Number Of Group Practice Members | 92 |
| Line 1 Street Address | 3914 CENTREVILLE RD |
| Line 2 Street Address | SUITE 250 |
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| City | CHANTILLY |
| State | VA |
| Zip Code | 201513290 |
| Phone Number | 7034351223 |
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| Professional Accepts Medicare Assignment | Y |
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