Balakrishnan, Radhakrishnan

Balakrishnan, Radhakrishnan is an individual health care provider with primary practice located at 18699 N 67Th Ave Suite 280, Glendale AZ 85308-7140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Balakrishnan, Radhakrishnan can be contacted via phone (623) 240-4277.

Contact Information

Primary practice address
18699 N 67Th Ave Suite 280 Glendale AZ 85308-7140
Phone: (623) 240-4277
Fax: (623) 566-0263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34114 Arizona

Profile Details

NPI number 1851377139
LBN Legal business name Balakrishnan, Radhakrishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jun 26th, 2018 - about 7 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 1851377139 NPPES
Arizona MEDICAID 955768

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