# NAMASIVAYAM AMBALAVANAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770527012
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 20362 | AL | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00124464 | MISSISSIPPI MEDICAID | AL |
| 01 | — | 4710057 | UHC | AL |
| 01 | — | 47489 | HEALTHSPRING | AL |
| 01 | — | 51098585 | BC BS | AL |
| 05 | — | 9940270 | — | AL |
| 01 | — | G21455 | VIVA | — |