Balasubramanian, Kanchana
Balasubramanian, Kanchana is an sole proprietor health care provider with primary practice located at 6 Walter Ct , Rutherford NJ 07070-2558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Balasubramanian, Kanchana can be contacted via phone (201) 893-2939.Contact Information
Primary practice address
6 Walter Ct
Rutherford NJ 07070-2558
Phone: (201) 893-2939
Fax: (201) 460-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07605600 | New Jersey |
Profile Details
| NPI number | 1780626143 |
|---|---|
| LBN Legal business name | Balasubramanian, Kanchana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Feb 2nd, 2012 - about 12 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 | 1780626143 | NPPES |
| New Jersey | MEDICAID | 0016497 | |
| New Jersey | Other | 11266126 |
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