| NPI | 1114104346 |
|---|---|
| Doing Business As | DR. AMBALAVANAN M.D. |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON System Director 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH OH 35090880) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-01-13 |