Balu, Ganesh R
Balu, Ganesh R is an individual health care provider with primary practice located at 240 Beiser Blvd Suite 201, Dover DE 19904-8208. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Balu, Ganesh R can be contacted via phone (302) 734-7246.Contact Information
Primary practice address
240 Beiser Blvd Suite 201
Dover DE 19904-8208
Phone: (302) 734-7246
Fax: (302) 678-8890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | C1-0005467 | Delaware |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | C1-0005467 | Delaware |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | C1-0005467 | Delaware |
Profile Details
NPI number | 1073594693 |
---|---|
LBN Legal business name | Balu, Ganesh R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Jan 9th, 2024 - about 11 months 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 | 1073594693 | NPPES |
Delaware | MEDICAID | 0000898401 |
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