Provider Demographics
NPI:1225030646
Name:AMBE, APARNA P (MD)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:P
Last Name:AMBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 637676
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-741-7200
Mailing Address - Fax:513-741-1977
Practice Address - Street 1:3035 HAMILTON MASON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5544
Practice Address - Country:US
Practice Address - Phone:513-741-7200
Practice Address - Fax:513-741-1977
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35077557A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2204377Medicaid
OH4028962Medicare PIN
OH4028963Medicare PIN
OH2204377Medicaid