Balasekaran, Bhuvana
Balasekaran, Bhuvana is an sole proprietor health care provider with primary practice located at 1301 W. Wall St. Ste C, Midland TX 79701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balasekaran, Bhuvana can be contacted via phone (432) 570-4500.Contact Information
Primary practice address
1301 W. Wall St. Ste C
Midland TX 79701
Phone: (432) 570-4500
Fax: (432) 522-2115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L2794 | Texas |
Profile Details
| NPI number | 1770564080 |
|---|---|
| LBN Legal business name | Balasekaran, Bhuvana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Oct 15th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770564080 | NPPES |
| Texas | Other | 470889174 | FEDERAL TAX ID |
| Texas | MEDICAID | 153987601 | FEDERAL TAX ID |
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