Balachandran, Subramaniam

Balachandran, Subramaniam is an sole proprietor health care provider with primary practice located at 1007 S William St , Atlanta TX 75551-3245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Balachandran, Subramaniam can be contacted via phone (903) 799-3326.

Contact Information

Primary practice address
1007 S William St Atlanta TX 75551-3245
Phone: (903) 799-3326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G0656 Texas

Profile Details

NPI number 1225034010
LBN Legal business name Balachandran, Subramaniam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2005
Last updated May 21st, 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 1225034010 NPPES
Arkansas MEDICAID 142587001
Arkansas MEDICAID 1675661
Arkansas MEDICAID 1365207-01
Arkansas Other 15AR

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