Individual
DR. AMBARISH JAMGADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20300 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64057-1672
(816) 478-5200
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-40163
KS
208D00000X
General Practice Physician
Primary
29042
OK
Other
Enumeration date
09/25/2012
Last updated
01/25/2023
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