Balakumar, Kalavathy

Balakumar, Kalavathy is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Balakumar, Kalavathy can be contacted via phone (973) 754-2645.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04427600 New Jersey

Profile Details

NPI number 1780671370
LBN Legal business name Balakumar, Kalavathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 10th, 2009 - about 15 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 1780671370 NPPES
New Jersey MEDICAID 0963909

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