Rajendran Ambiavagar, MD

NPI #1225670961 in Alexandria, Louisiana

Provider Information

NPI Number: 1225670961
Entity Type: Individual
Name: Rajendran Ambiavagar, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Oct 15, 2019
Last Updated: Oct 15, 2019

Practice Location

Address: 4209 WAKEFIELD BLVD
City: Alexandria
State: Louisiana
ZIP Code: 71303-2958
Phone: (318) 487-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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