Individual
MARIO P. AMMIRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11199 SORRENTO VALLEY RD STE 203, SAN DIEGO, CA 92121-1334
(619) 566-0640
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01083738A
IN
207T00000X
Neurological Surgery Physician
35087091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600859
—
OH
Enumeration date
05/05/2006
Last updated
12/12/2024
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