Healthcare Provider Details

I. General information

NPI: 1568417459
Provider Name (Legal Business Name): AMBA CONSULTANTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MERCY DR SUITE 120
COUNCIL BLUFFS IA
51503-3128
US

IV. Provider business mailing address

800 MERCY DR SUITE 120
COUNCIL BLUFFS IA
51503-3128
US

V. Phone/Fax

Practice location:
  • Phone: 712-388-2770
  • Fax: 712-388-2771
Mailing address:
  • Phone: 712-388-2770
  • Fax: 712-388-2771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIKRANT SALARIA
Title or Position: DIRECTOR
Credential: M.D.
Phone: 712-388-2770