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Individual
JEEVANA SREEJA AMBATI
Active
Individual
JEEVANA SREEJA AMBATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351048555
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
125-084109
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
DR.0076729
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2021
Last updated
08/03/2026
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