| Dr Jayachidambaram Ambalavanan, MD | |
|
175 Us Route 1, Scarborough, ME 04074-9048 | |
| (207) 396-7700 | |
| (207) 396-7701 |
| Full Name | Dr Jayachidambaram Ambalavanan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 175 Us Route 1, Scarborough, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073173738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD27390 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jayachidambaram Ambalavanan, MD 175 Us Route 1, Scarborough, ME 04074-9048 Ph: (207) 396-7700 | Dr Jayachidambaram Ambalavanan, MD 175 Us Route 1, Scarborough, ME 04074-9048 Ph: (207) 396-7700 |
Jamal Choudhary, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 49 Spring St Ste 201, Scarborough, ME 04074 Phone: 207-883-3491 Fax: 207-618-5026 | |
Dr. Mary C. Fahrenbach, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Dr. Mylan C. Cohen, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Mirle A Kellett, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Dr. Warren D Alpern, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Susan Miesfeldt, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Drive, Suite 110, Scarborough, ME 04074 Phone: 207-396-7678 Fax: 207-396-8766 | |
Andrew Heppe, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 300 Professional Dr Ste 2b, Scarborough, ME 04074 Phone: 207-883-3491 |