# AMBASHT FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902568751
- **Authorized official:** ANKITA AMBASHT M.D. (OWNER)
- **Authorized official phone:** (240) 328-4545

## Contact information

- **Practice address:** 3300 PROVIDENCE DR STE 114, ANCHORAGE, AK 99508-4619
- **Practice address phone:** (907) 770-6200
- **Mailing address:** 3300 PROVIDENCE DR STE 114, ANCHORAGE, AK 99508-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 10/10/2021