Annadurai, Bala P

Annadurai, Bala P is an individual health care provider with primary practice located at 2147 Mowry Ave Suite D4, Fremont CA 94538-1724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Annadurai, Bala P can be contacted via phone (510) 574-0800.

Contact Information

Primary practice address
2147 Mowry Ave Suite D4 Fremont CA 94538-1724
Fax: (510) 574-0850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A056197 California

Profile Details

NPI number 1033100516
LBN Legal business name Annadurai, Bala P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033100516 NPPES
Other P00145281 RAILROAD MEDICARE
MEDICAID 00A561970 RAILROAD MEDICARE

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