Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44284 | CO |
N | 111NI0900X | Internist | 44284 | CO |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | DR.0044284 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | DR.0044284 | CO |
NPI | 1700975042 |
---|---|
Provider Name | Dr. Amrut V. Ambardekar |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 15/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13085522 | (05) | CO |