Ambika Akhoury, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI 1700777935 · NPPES record last updated Jul 15, 2025

Key facts

NPI
1700777935
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 624-4477
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250722001931 MN Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
4385150895

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 624-4477

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.