Individual
DR. AVANTI AMBEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401-3805
(650) 696-4515
(650) 696-4626
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
(415) 883-1836
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A83732
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A83732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837320
—
CA
Enumeration date
09/15/2006
Last updated
03/19/2021
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