Balenalli, Suresh

Balenalli, Suresh is an individual health care provider with primary practice located at 1968 N Peart Rd Suite 1, Casa Grande AZ 85122-2495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Balenalli, Suresh can be contacted via phone (520) 836-6636.

Contact Information

Primary practice address
1968 N Peart Rd Suite 1 Casa Grande AZ 85122-2495
Phone: (520) 836-6636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28920 Arizona

Profile Details

NPI number 1336181437
LBN Legal business name Balenalli, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 19th, 2014 - about 10 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 1336181437 NPPES
Arizona MEDICAID 543365

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