DR. AMBUJAM R KRISHNAN (NPI# 1548231749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548231749 |
| Entity Type | Individual |
| Full Name | DR. AMBUJAM R KRISHNAN |
| Credential | MD |
| Practice Address |
15645 Farmington Rd Livonia MI 48154-2851 |
| Practice Telephone | 7344647600 |
| Practice Fax Number | 7344649797 |
| Mailing Telephone | 7344647600 |
| Mailing Fax Number | 7344649797 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
AK043104 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1783169 | 05 |
| Street Address |
15645 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891032009 | Eun Ju Yeon | Nurse Practitioner | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2013-01-08 |
| 1063537785 | Comprehensive Healthcare Associates and Prevention Medicine PC | Internal Medicine | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2007-03-20 |
| 1558428276 | Amy Lynn Widenbaum | Social Worker | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2007-01-02 |
| 1619084589 | K C R Nair Md PC | Psychiatry & Neurology | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2006-08-24 |
| 1043327935 | Luis Pomodoro M D PC | Psychiatry & Neurology | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538343736 | Amit R. Mohindra, Md PC | Internal Medicine | 14555 Levan Road, Suite112, Livonia, MI 48154-5085 | 2007-12-24 |
| 1063537785 | Comprehensive Healthcare Associates and Prevention Medicine PC | Internal Medicine | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2007-03-20 |
| 1255468534 | Harmeshkumar Naik | Internal Medicine | 14555 Levan Rd, Suite 110, Livonia, MI 48154-5083 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
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| 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.