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Siva Ambalavanan, MD
Nephrology Physician in Kettering, Ohio
NPI 1346222643

Siva Ambalavanan is a Nephrology Physician based in Kettering, OH and is specialized in Nephrology. Siva Ambalavanan practices in Kettering, OH and has the professional credentials of MD. The NPI Number for Siva Ambalavanan is 1346222643 and holds a License No. 74675 (Ohio).

The current practice location address for Siva Ambalavanan is 500 Lincoln Park Blvd, Kettering, OH and can be reached out via phone at 937-222-3118 and via fax at 937-222-1436.

Location: 500 Lincoln Park Blvd, Kettering, OH, 45429-6410
person
Provider Profile Details
NPI Number
1346222643
Provider Name
Siva Ambalavanan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Lincoln Park Blvd, Kettering, OH, 45429-6410
Phone Number
937-222-3118
Fax Number
937-222-1436
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390005871 01 MEDICARE RAILROAD
D74675 01 HUMANA
2204490 01 AETNA
2102905 05 OH
000000035826 01 ANTHEM
310821503030 01 CARE SOURCE
3108215037C16 01 UNITED MINE WORKERS
390005871 01 UHC
institution
Provider Business Practice Location Address Details
Address
500 Lincoln Park Blvd
City
State
Zip
45429-6410
Phone Number
937-222-3118
Fax Number
937-222-1436
person
Provider Business Mailing Address Details
Address
500 Lincoln Park Blvd
City
State
Zip
45429-6410
Phone Number
937-222-3118
Fax Number
937-222-1436
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
74675 (Ohio)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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