Individual
ANEESH AMBALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY, GME DEPT 384, SANTA CLARA, CA 95051-5173
(408) 851-7203
Mailing address
489 NORTHLAKE DR, # 202, SAN JOSE, CA 95117-1378
(415) 531-3503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
02/11/2022
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