Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
Dr. Ambalavanan M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON N/A (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 480, LIMA, OH 45801-3990
(419) 227-9500
Mailing address
PO BOX 73577, CLEVELAND, OH 44193-0002
(419) 996-5114
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OH 35090880
OH
Other
Enumeration date
01/30/2008
Last updated
01/13/2022
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