Balasubramaniyam, Nivas
Balasubramaniyam, Nivas is an sole proprietor health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Balasubramaniyam, Nivas can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5177 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01078328A | Indiana |
Profile Details
| NPI number | 1306179643 |
|---|---|
| LBN Legal business name | Balasubramaniyam, Nivas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1306179643 | NPPES |
| Indiana | MEDICAID | 300004342 | |
| Indiana | Other | 000001090890 |
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