Provider Demographics
NPI:1699740381
Name:EKAMBARAM, YAMUNA (MD)
Entity type:Individual
Prefix:DR
First Name:YAMUNA
Middle Name:
Last Name:EKAMBARAM
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4100 GOSS RD
Mailing Address - Street 2:FOX ARMY HEALTH CENTER, CREDENTIALS COORDINATOR
Mailing Address - City:REDSTONE ARSENAL
Mailing Address - State:AL
Mailing Address - Zip Code:35809-7000
Mailing Address - Country:US
Mailing Address - Phone:256-955-8888
Mailing Address - Fax:256-313-3260
Practice Address - Street 1:4100 GOSS RD
Practice Address - Street 2:FOX ARMY HEALTH CENTER, PEDIATRIC CLINIC
Practice Address - City:REDSTONE
Practice Address - State:AL
Practice Address - Zip Code:35809-7000
Practice Address - Country:US
Practice Address - Phone:256-955-8888
Practice Address - Fax:256-313-3260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL10376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics