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Ambihai Kumaran Sinnadurai

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

This provider is enrolled in PECOS as AMBIHAI SINNADURAI.

Based on the most recent information from CMS, provider Ambihai Kumaran Sinnadurai is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1609189539
Provider Type
Individual
Full Name
Sinnadurai, Ambihai Kumaran
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/20/2010
Last Updated
1/3/2019

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 45443, Salt Lake City, UT 84145-0443

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME130447 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME130447 Florida

Ambihai Kumaran Sinnadurai

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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