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NPI Code Detail

MEDICARE: SUCHETA AMBEKAR D.O.

MEDICARE: SUCHETA AMBEKAR D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician5101010659MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00320596OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679538706
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUCHETA AMBEKAR D.O.
Provider Business Mailing Address
First Line : 1749 HAMILTON RD STE 102E
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1941
Country : US
Telephone Number : 517-482-2118
Fax Number : 517-482-6280
Provider Business Practice Location Address
First Line : 2900 COLLINS RD
Second Line :
City : LANSING
State : MI
Zip : 48910-8394
Country : US
Telephone Number : 517-975-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 03/20/2024

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Directions to “ SUCHETA AMBEKAR D.O.” Practice Location

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