John, Amballur

John, Amballur is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. John, Amballur can be contacted via phone (410) 955-6353.

Contact Information

Primary practice address
4940 Eastern Ave Baltimore MD 21224-2735
Phone: (410) 955-6353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X D59050 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D59050 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D59050 Maryland

Profile Details

NPI number 1932156130
LBN Legal business name John, Amballur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 22nd, 2013 - about 13 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 1932156130 NPPES
Maryland MEDICAID 400294600

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