Balakrishna, Srimathi

Balakrishna, Srimathi is an individual health care provider with primary practice located at 1162 New Britain Ave , W Hartford CT 06110-2410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Balakrishna, Srimathi can be contacted via phone (860) 236-3084.

Contact Information

Primary practice address
1162 New Britain Ave W Hartford CT 06110-2410
Phone: (860) 236-3084
Fax: (860) 561-5961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 015891 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 015891 Connecticut

Profile Details

NPI number 1649291857
LBN Legal business name Balakrishna, Srimathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jun 12th, 2013 - about 11 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 1649291857 NPPES
Connecticut Other 010015891CT01 ANTHEM BLUE SHIELD
Connecticut Other 0V3681 ANTHEM BLUE SHIELD
Connecticut MEDICAID 001158914 ANTHEM BLUE SHIELD

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