NIKHIL VIVEK AMBULGEKAR


Address: 133 S Main St, Mount Clemens, MI 48043
Phone: 5864681600

NIKHIL VIVEK AMBULGEKAR (NPI# 1497074264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497074264
Entity Type Individual
Full Name NIKHIL VIVEK AMBULGEKAR
Credential M.D.
Practice Address 133 S Main St
Mount Clemens
MI 48043
Mailing Address 2689 Solution Center
Chicago
IL 60677-0001
Practice Telephone 5864681600
Practice Fax Number 5864650329
Mailing Telephone 5863291880
Mailing Fax Number 5862310055
Enumeration Date 2010-05-19
Last Update Date 2018-12-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301096087 MI Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301096087 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
43421 Garfield Rd Ste 1, Clinton Township, MI 480381133 5862865500
2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 482022608 3139161888

Office Location

Street Address 133 S MAIN ST
City MOUNT CLEMENS
State MI
Zip Code 48043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306842190 Internal Medicine Associates of Mt. Clemens, PC Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2005-06-26
1669973194 Kathryn Loren Social Worker 133 S Main St, Mount Clemens, MI 48043-2308 2018-02-21
1225406259 Joseph Scherba Physician Assistant 133 S Main St, Mount Clemens, MI 48043-2308 2015-09-08
1396111860 Nicole Cherie Williams Nurse Practitioner 133 S Main St, Mount Clemens, MI 48043-2308 2015-08-19
1073999629 Nicole Marie Shields Physician Assistant 133 S Main St, Mount Clemens, MI 48043-2308 2015-08-05
1669864708 Henry Ford Macomb Ancillary Services Clinical Medical Laboratory 133 S Main St, Mount Clemens, MI 48043-2308 2015-02-26
1689062911 Henry Ford Macomb Ancillary Services Physiological Laboratory 133 S Main St, Mount Clemens, MI 48043-2308 2015-01-09
1578973962 Lubna Sarraf Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2014-05-06
1841615648 Alliance Health Professionals, Pllc Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2014-03-03
1962763078 Jahir Eduardo Ramos Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2012-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699300228 Blue Diamond Aba Services LLC Assistant Behavior Analyst 102 North Avenue, Mt. Clemens, MI 48043 2020-03-04
1265086136 Venture Counseling Social Worker 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 2019-07-30
1386203651 Michele Lee Casebolt Physical Therapist 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 2019-06-11
1730669706 Wynn A Mitchell Case Manager/Care Coordinator 24 Hubbard St, Mount Clemens, MI 48043 2018-08-18
1629520101 Boitshoko Marang Family Medicine Clinton River Drive 11a, Mount Clemens, MI 48043 2016-10-31
1720332265 New Passages Point of Service 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 2012-11-06
1376807784 Christopher John Shamass Emergency Medicine 1000 Harrington Boulevard, Mount Clemens, MI 48043 2012-06-29
1265749683 Mycare Health Center Clinic/Center 18 Market Street, Suite C, Mount Clemens, MI 48043 2010-09-07
1114102837 George Edward Perron Family Medicine 256 Wellington Crescent, Mt Clemens, MI 48043 2007-12-31
1558568733 Dawood Ghassan Dalaly Surgery 1000 Harrington, Mt Clemens, MI 48043 2007-06-29
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518000223 General Hosp Medical Assoc, P.C. Internal Medicine 1030 Harrington St Ste 101, Mount Clemens, MI 48043-2967 2007-02-14
1245477108 Firas Yazigi Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2009-01-14
1750544268 Sibin K Zacharias Internal Medicine 1030 Harrington St, Ste 101, Mount Clemens, MI 48043-2967 2008-07-03
1528258654 Mclaren Macomb Internal Medicine 1000 Harrington St, Mount Clemens, MI 48043 2007-07-25
1477763779 Timothy David Logan Internal Medicine 1000 Harrington St, Mount Clemens, MI 48043-2920 2007-05-23
1801005145 Natesh Lingam Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2007-05-22
1407066350 Vijay Ravin Patel Internal Medicine 133 S Main St, Mount Clemens, MI 48043-2308 2007-05-22
1487861043 Michael Blair Deyoung Internal Medicine 1000 Harrington Blvd., Mount Clemens, MI 48043-2920 2007-05-16
1538141262 Brian Michael Litch Internal Medicine 1030 Harrington St, Suite 101, Mount Clemens, MI 48043-2967 2005-11-17
1508848748 Larry Robert Rothstein Internal Medicine 1030 Harrington St, Suite 101, Mount Clemens, MI 48043-2967 2005-11-15
Find all providers in MOUNT CLEMENS

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City MOUNT CLEMENS
Zip Code 48043

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Dataset Information

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.

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