Balaraman, Balasukanya

Balaraman, Balasukanya is an individual health care provider with primary practice located at 1 Tallow Wood Dr , Clifton Park NY 12065-2807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balaraman, Balasukanya can be contacted via phone (518) 373-4500.

Contact Information

Primary practice address
1 Tallow Wood Dr Clifton Park NY 12065-2807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 266285 New York

Profile Details

NPI number 1891815270
LBN Legal business name Balaraman, Balasukanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated May 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891815270 NPPES
New York MEDICAID 03496522

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