Balakrishnan, Gautam
Balakrishnan, Gautam is an sole proprietor health care provider with primary practice located at 5301 Faraon St Ste 210B , Saint Joseph MO 64506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Balakrishnan, Gautam can be contacted via phone (816) 271-1385.Contact Information
Primary practice address
5301 Faraon St Ste 210B
Saint Joseph MO 64506
Phone: (816) 271-1385
Fax: (816) 271-1379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R9809 | Iowa |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2016023333 | Missouri |
Profile Details
NPI number | 1609214519 |
---|---|
LBN Legal business name | Balakrishnan, Gautam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2013 |
Last updated | May 26th, 2021 - about 3 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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