Geetha C Ambalavanan, MD

NPI #1780899633 in Fairborn, Ohio

Provider Information

NPI Number: 1780899633
Entity Type: Individual
Name: Geetha C Ambalavanan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 14, 2007
Last Updated: Dec 6, 2013

Practice Location

Address: 2180 GATEWAY DR
City: Fairborn
State: Ohio
ZIP Code: 45324-6356
Phone: (937) 208-8155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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