IndividualActive
Amy Ellenbogen, MD
NPI 1336584101 · Diagnostic Radiology Physician · Charlottesville, VA
Provider details
- NPI number
- 1336584101
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101266797 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-9400
Fax: (434) 982-1618
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9007
Charlottesville, VA 22906-9007
Additional practice locations (2)
- 1215 Lee StCharlottesville, VA 22908-0816Phone: (434) 297-5055Fax: (434) 244-9489
- 1240 Lee StCharlottesville, VA 22908-0817Phone: (434) 243-6888Fax: (434) 243-6999
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.