Healthcare Provider Details

I. General information

NPI: 1316399215
Provider Name (Legal Business Name): RACHANA RAMESH AMBERKER MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST # 69
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-5465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME160272
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: