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Individual

SUCHETA AMBEKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2900 COLLINS RD, LANSING, MI 48910-8394
(517) 975-6000
Mailing address
1749 HAMILTON RD STE 102E, OKEMOS, MI 48864-1941
(517) 482-2118
(517) 482-6280

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101010659
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114725632
MI
01
P00320596
RAILROAD MEDICARE
MI
Enumeration date
04/20/2006
Last updated
03/20/2024
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