Individual
RAJENDRAN AMBIAVAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4209 WAKEFIELD BLVD, ALEXANDRIA, LA 71303-2958
(318) 487-0990
Mailing address
4209 WAKEFIELD BLVD, ALEXANDRIA, LA 71303-2958
(318) 487-0990
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD.05464R
LA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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