Individual provider · NPI-1

Rajitha Ambati, MD

Internal Medicine · Gastonia, NC

NPI number1366601262
StatusActive
Last updated in NPPESOct 21, 2016

Details

NPI
1366601262
Entity type
Individual (NPI-1)
Name
Rajitha Ambati
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2008
Last updated
Oct 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2015-01926NCYes
207R00000X Internal Medicine35.091454OH

Practice location

2555 Court Dr
Suite 270
Gastonia, NC 28054-2134

Phone 704-834-4390 · Fax 704-834-3274

Mailing address

2555 Court Dr
Suite 270
Gastonia, NC 28054-2134

Phone 704-834-4390 · Fax 704-834-3274

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