Individual provider · NPI-1

Suresh Amble, MD

Radiology, Diagnostic Radiology · Eden Prairie, MN

NPI number1942250824
StatusActive
Last updated in NPPESDec 2, 2019

Details

NPI
1942250824
Entity type
Individual (NPI-1)
Name
Suresh Amble
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2006
Last updated
Dec 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyME102505FLYes

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

Mailing address

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

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