RAJENDRAN AMBIAVAGAR (NPI# 1225670961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225670961 |
| Entity Type | Individual |
| Full Name | RAJENDRAN AMBIAVAGAR |
| Credential | MD |
| Practice Address |
4209 Wakefield Blvd Alexandria LA 71303-2958 |
| Practice Telephone | 3184870990 |
| Mailing Telephone | 3184870990 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD.05464R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
4209 WAKEFIELD BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1275553836 | Gregory M Bernstein | Urology | 1600 N Beauregard St, Suite 300, Alexandria, VA 22311-1704 | 2006-07-19 |
| 1033140637 | Robert Lepine Fontane | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2006-07-05 |
| 1063491603 | John W Klousia | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2006-01-12 |
| 1427036599 | Richard C Rhame | Urology | 1707 Osage St, Suite 301, Alexandria, VA 22302-2607 | 2006-01-09 |
| 1629496088 | Boston Medical Group- Virginia, P.C. | Urology | 4216 King Street, Alexandria, VA 22302 | 2014-04-02 |
| 1902244171 | Katherine Ann Walker | Urology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2013-06-11 |
| 1669778080 | John W Klousia Md PC | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2011-02-02 |
| 1629396460 | Joshua Holstead | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2010-05-04 |
| 1487879094 | Cenla Urology Clinic LLC | Urology | 3311 Prescott Rd, Suite 100, Alexandria, LA 71301-3900 | 2007-04-17 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on RAJENDRAN AMBIAVAGAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.