Ambasht Family Medicine, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
AMBASHT FAMILY MEDICINE, LLC	1902568751	2021-10-10

The organization Ambasht Family Medicine, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1902568751. Registration indicates Ambasht Family Medicine, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	AMBASHT FAMILY MEDICINE, LLC
Practice Office Address	3300 PROVIDENCE DR STE 114 ANCHORAGE, AK US
Practice Office Telephone	9077706200
Mailing Address	3300 PROVIDENCE DR STE 114 ANCHORAGE, AK 995084619 US
Authorized Official	ANKITA AMBASHT, OWNER 2403284545

HPT Codes

Code	Practice	License No State
261QP2300X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Primary Care Primary Care/Family Planning/APRN/PA Clinic/Center Primary Care Ambulatory Health Care Facilities Clinic/Center

OPI Codes

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