Bala, Rajaram

Bala, Rajaram is an individual health care provider with primary practice located at 343 W Houston Street Suite 1002, San Antonio TX 78205-2268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Bala, Rajaram can be contacted via phone (210) 225-3006.

Contact Information

Primary practice address
343 W Houston Street Suite 1002 San Antonio TX 78205-2268
Fax: (210) 271-7755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X E4968 Texas

Profile Details

NPI number 1457459919
LBN Legal business name Bala, Rajaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 7th, 2010 - about 15 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 1457459919 NPPES
Texas MEDICAID PENDING

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