National Provider Identifier
Matthew Ambalavanar, MD
Matthew Ambalavanar, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 602-2560.
Profile Overview
- NPI
- 1174382527
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 18, 2024
- Last Updated
- March 18, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 602-2560
Mailing Address
- 20 Morning Woods Ln
- Rochester, NY 14625-1175
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1174382527
- Entity Type
- Individual
- Last Name
- Ambalavanar
- First Name
- Matthew
- Credential
- MD
- Mailing Street Address
- 20 Morning Woods Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-1175
- Mailing Country
- US
- Mailing Phone
- (585) 690-4255
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 602-2560
- Enumeration Date
- March 18, 2024
- Last Updated
- March 18, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)