Individual
NIKHIL VIVEK AMBULGEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 S MAIN ST, MOUNT CLEMENS, MI 48043
(586) 468-1600
(586) 465-0329
Mailing address
2689 SOLUTION CENTER, CHICAGO, IL 60677-0001
(586) 329-1880
(586) 231-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301096087
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301096087
MI
207RI0011X
Interventional Cardiology Physician
4301096087
MI
Other
Enumeration date
05/19/2010
Last updated
12/08/2021
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