Individual
AMBIKA PALLAVI ERANKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 IRVING AVE, STE 311, SYRACUSE, NY 13210-1603
(315) 464-5533
Mailing address
725 IRVING AVE, STE 311, SYRACUSE, NY 13210-1603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
277363
NY
207R00000X
Internal Medicine Physician
4301093138
MI
207RI0200X
Infectious Disease Physician
Primary
277363
NY
208000000X
Pediatrics Physician
4301093138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015427
—
NY
Enumeration date
08/26/2008
Last updated
09/24/2020
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