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MEHAR SRIVANI REDDY AMBATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1071 PEMBERTON HILL RD, SUITE 102, APEX, NC 27502-4268
(919) 363-6060
(919) 363-6040
Mailing address
PO BOX 1810, APEX, NC 27502-2810
(919) 363-6060
(919) 363-6040

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200400448
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141JM
BCBS
NC
01
207646
MEDCOST
NC
05
5902911
NC
01
FH2967220
FIRSTCAROLINACARE
NC
01
P00301271
PALMETTO GOVT SERV PROV#
NC
Enumeration date
07/01/2006
Last updated
07/17/2012
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