NPI 1225670961

Rajendran Ambiavagar, MD

Practitioner Urology Physician Alexandria, LA

Practice location

Address: 4209 Wakefield Blvd, Alexandria, LA 71303-2958
Phone: (318) 487-0990

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD.05464R (LA)

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Registry record

NPI: 1225670961
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2019
Record last updated: 15 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.