AMBARISH MUKUND ATHAVALE

SAN DIEGO, CA
NPI1255647145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IL  036-127463)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036-127463)
Enumeration Date2010-08-30
Last Update Date2024-05-03
Business Address
AMBARISH MUKUND ATHAVALE MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
AMBARISH MUKUND ATHAVALE MD
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number: 858-249-6748