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Individual

DR. AMBUJAM R KRISHNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15645 FARMINGTON RD, LIVONIA, MI 48154-2851
(734) 464-7600
(734) 464-9797
Mailing address
15645 FARMINGTON RD, LIVONIA, MI 48154-2851
(734) 464-7600
(734) 464-9797

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
AK043104
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1783169
MI
Enumeration date
01/27/2006
Last updated
09/11/2025
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