Individual provider · Type 1 NPI

Aneesh Ambalal, MD

Student in an Organized Health Care Education/Training Program · Santa Clara, CA

NPI number 1114165057 Active

Practice location

710 Lawrence Expy, Gme Dept 384
Santa Clara, CA 95051-5173

Call (408) 851-7203 Map

Mailing address

489 Northlake Dr, # 202
San Jose, CA 95117-1378

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114165057

Aneesh Ambalal, MD's National Provider Identifier is 1114165057, issued on Jan 30, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Clara, CA. The record was last updated on Feb 11, 2022.