Active NPIIndividual providerSole proprietor

Dr. Jayachidambaram Ambalavanan, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in Scarborough, Maine

NPI Number1073173738
Practice location
175 US Route 1, Scarborough, ME 04074-9048
Fax
207-396-7701
Last updated
July 19, 2024

Jayachidambaram Ambalavanan is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Scarborough, ME. Jayachidambaram Ambalavanan practices in Scarborough, ME and has the professional credentials of MD. The NPI Number for Jayachidambaram Ambalavanan is 1073173738 and holds a License No. MD27390 (ME). The current practice location address for Jayachidambaram Ambalavanan is 175 US Route 1, Scarborough, ME 04074-9048 and can be reached out via phone at 207-396-7700 and via fax at 207-396-7701.

Provider Profile Details

NPI Number
1073173738
Provider Name
Jayachidambaram Ambalavanan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
175 US Route 1, Scarborough, ME 04074-9048
Phone Number
207-396-7700
Fax Number
207-396-7701
Sole Proprietor
Yes
Provider Enumeration Date
June 15, 2019
Last Update Date
July 19, 2024
Certification Date
July 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 US Route 1
Scarborough, ME 04074-9048
State
Maine
Zip
04074-9048
Phone Number
207-396-7700
Fax Number
207-396-7701
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
175 US Route 1
Scarborough, ME 04074-9048
City
Scarborough
State
ME
Zip
04074-9048
Phone Number
207-396-7700
Fax Number
207-396-7701

License Information

License Number
MD27390
License State
ME

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jayachidambaram Ambalavanan, MD?

The NPI number of Dr. Jayachidambaram Ambalavanan, MD is 1073173738. It was assigned on June 15, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Jayachidambaram Ambalavanan, MD?

Dr. Jayachidambaram Ambalavanan, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in ME under license number MD27390.

Where does Dr. Jayachidambaram Ambalavanan, MD practice?

The practice location is 175 US Route 1, Scarborough, ME 04074-9048. The office can be reached at 207-396-7700 (phone) or 207-396-7701 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073173738 directly on the NPPES registry website.

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