Ambur, Manoj Kumar Reddy

Ambur, Manoj Kumar Reddy is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-1007. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Ambur, Manoj Kumar Reddy can be contacted via phone (706) 721-8623.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-1007
Phone: (706) 721-8623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X R8499 Iowa
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X SP-207 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 89014 Georgia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 89014 Georgia

Profile Details

NPI number 1538397369
LBN Legal business name Ambur, Manoj Kumar Reddy
Credentials M.B.B.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Nov 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538397369 NPPES
Georgia Other 89014 GA MEDICAL LICENSE

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