Balaji, Talluri
Balaji, Talluri is an individual health care provider with primary practice located at 423 S South St Ste 101, Mount Airy NC 27030-4576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Balaji, Talluri can be contacted via phone (336) 786-5144.Contact Information
Primary practice address
423 S South St Ste 101
Mount Airy NC 27030-4576
Phone: (336) 786-5144
Fax: (336) 786-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 30591 | North Carolina |
Profile Details
| NPI number | 1609871375 |
|---|---|
| LBN Legal business name | Balaji, Talluri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 14th, 2014 - about 10 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 | 1609871375 | NPPES |
| North Carolina | MEDICAID | 8912732 |
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