Balachandar, Viswanathan

Balachandar, Viswanathan is an individual health care provider with primary practice located at 1055 Stewart Ave , Bethpage NY 11714-3596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Balachandar, Viswanathan can be contacted via phone (516) 938-0100.

Contact Information

Primary practice address
1055 Stewart Ave Bethpage NY 11714-3596
Fax: (516) 938-0120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 115951 New York
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 115951 New York

Profile Details

NPI number 1689627721
LBN Legal business name Balachandar, Viswanathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 24th, 2021 - about 3 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 1689627721 NPPES
New York MEDICAID 00275049

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