SIVA AMBALAM

ARLINGTON, VA
NPI1619234788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102205174)
Enumeration Date2012-04-13
Last Update Date2022-09-29
Business Address
Dr. SIVA AMBALAM M.P.H., D.O.
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201
Phone number: 571-492-3045
Mailing Address
Dr. SIVA AMBALAM M.P.H., D.O.
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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