Provider Demographics
NPI:1740230762
Name:AMBAY, RAJ S (MD)
Entity Type:Individual
Prefix:
First Name:RAJ
Middle Name:S
Last Name:AMBAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:27716 CASHFORD CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6962
Mailing Address - Country:US
Mailing Address - Phone:813-406-4448
Mailing Address - Fax:813-283-4835
Practice Address - Street 1:27716 CASHFORD CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6962
Practice Address - Country:US
Practice Address - Phone:813-406-4448
Practice Address - Fax:813-283-4835
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-08-20
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Provider Licenses
StateLicense IDTaxonomies
TXN2918208200000X
FLME109483208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery