Wellformed AI

NPI 1619196466 · live from the CMS NPI Registry

Odul Aktan Amburgey, M.D.

Obstetrics & Gynecology, Maternal & Fetal Medicine in San Jose, CA. National Provider Identifier 1619196466, active.

NPI record

NPI1619196466 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X
Practice location2577 Samaritan Drive, Suite 705, San Jose, CA 95124
Practice phone650-404-8210
Mailing address2350 W. El Camino Real, 2nd Floor, Mountain View, CA 94040
EnumeratedApril 24, 2007
Last updatedJuly 25, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Maternal & Fetal Medicine primary207VM0101XC141970 (CA)
Obstetrics & Gynecology, Maternal & Fetal Medicine207VM0101X35.095547 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.