AMBARISH MUKUND ATHAVALE MD
Individual Provider (NPI-1)
Active
Internal Medicine, Nephrology
Provider Information
- NPI Number
1255647145- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 200 W ARBOR DR, SAN DIEGO, CA, 921039000
- Phone
- (800) 926-8273
- Fax
- (888) 539-8781
Specialties & Taxonomies
Internal Medicine
License: IL #036-127463
Internal Medicine, Nephrology
Primary License: IL #036-127463