Balakrishnan, Elangovan

Balakrishnan, Elangovan is an individual health care provider with primary practice located at 1705 E Broadway Suite 100, Columbia MO 65201-5852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Balakrishnan, Elangovan can be contacted via phone (573) 874-7800.

Contact Information

Primary practice address
1705 E Broadway Suite 100 Columbia MO 65201-5852
Phone: (573) 874-7800
Fax: (573) 443-3627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2004024397 Missouri

Profile Details

NPI number 1407843022
LBN Legal business name Balakrishnan, Elangovan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 29th, 2023 - about 2 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 1407843022 NPPES
Other 5132415 AETNA
Other 65201A011 AETNA
Other 22604 AETNA
Other 689969 AETNA
Other 193438 AETNA
MEDICAID 209024306 AETNA

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