Provider Demographics
NPI:1508024977
Name:RAMBHATLA, AMARNATH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMARNATH
Middle Name:
Last Name:RAMBHATLA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1560 E MAPLE RD
Mailing Address - Street 2:SUITE - 400 - CREDENTIALING DEPARTMENT
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:313-271-0430
Mailing Address - Fax:313-429-7941
Practice Address - Street 1:18100 OAKWOOD BLVD
Practice Address - Street 2:STE 300
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4085
Practice Address - Country:US
Practice Address - Phone:313-271-0430
Practice Address - Fax:313-429-7941
Is Sole Proprietor?:No
Enumeration Date:2008-06-01
Last Update Date:2016-08-20
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Provider Licenses
StateLicense IDTaxonomies
MI4301090680208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology