Surianarayanan Ambalavanan, MD
Surianarayanan Ambalavanan, MD is an Otolaryngology in Celina, Ohio. Qualified in 1978, 48 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 48
- Licensed in
- OH
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
801 Pro Dr Ste D4 Vanan Ent & Sinus CenterCelina, OH 45822-3307
Phone: (419) 586-6480
Fax: (419) 586-8509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 35-090880 (OH) |
|---|
Record details
| NPI number | 1922061910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 10, 2006 |
| Last updated in NPPES | August 5, 2020 |
| Certification date | August 5, 2020 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1978 (48 years in practice) |
| Group practice | Jtdm Family Practice Llc — 48 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |