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Dr. Ambujam R Krishnan, MD
Hematology & Oncology Physician in Livonia, Michigan
NPI 1548231749

Ambujam R Krishnan is a Hematology & Oncology Physician based in Livonia, MI and is specialized in Hematology & Oncology. Ambujam R Krishnan practices in Livonia, MI and has the professional credentials of MD. The NPI Number for Ambujam R Krishnan is 1548231749 and holds a License No. AK043104 (Michigan).

The current practice location address for Ambujam R Krishnan is 15645 Farmington Rd, Livonia, MI and can be reached out via phone at 734-464-7600 and via fax at 734-464-9797. You can also correspond with Ambujam R Krishnan through the mailing address at 15645 FARMINGTON RD, LIVONIA, MI - 48154-2851 (mailing address contact number: 734-464-7600).

Location: 15645 Farmington Rd, Livonia, MI, 48154-2851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548231749
Provider Name
Ambujam R Krishnan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15645 Farmington Rd, Livonia, MI, 48154-2851
Phone Number
734-464-7600
Fax Number
734-464-9797
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1783169 05 MI
institution
Provider Business Practice Location Address Details
Address
15645 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-2851
Phone Number
734-464-7600
Fax Number
734-464-9797
person
Provider Business Mailing Address Details
Address
15645 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-2851
Phone Number
734-464-7600
Fax Number
734-464-9797
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
AK043104 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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