Balaguru, Duraisamy
Balaguru, Duraisamy is an sole proprietor health care provider with primary practice located at 750 Washington St Nemc# 313, Boston MA 02111-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Balaguru, Duraisamy can be contacted via phone (617) 636-7435.Contact Information
Primary practice address
750 Washington St Nemc# 313
Boston MA 02111-1526
Phone: (617) 636-7435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 209734 | Massachusetts |
Profile Details
| NPI number | 1154382703 |
|---|---|
| LBN Legal business name | Balaguru, Duraisamy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154382703 | NPPES |
| Massachusetts | MEDICAID | 0173380 |
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