Balusu, Pratap
Balusu, Pratap is an individual health care provider with primary practice located at 750 W High St Ste 250, Lima OH 45801-3959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Balusu, Pratap can be contacted via phone (419) 227-7399.Contact Information
Primary practice address
750 W High St Ste 250
Lima OH 45801-3959
Phone: (419) 227-7399
Fax: (419) 229-0123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72413 | Ohio |
Profile Details
| NPI number | 1083607519 |
|---|---|
| LBN Legal business name | Balusu, Pratap |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Oct 31st, 2014 - about 11 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 | 1083607519 | NPPES |
| Ohio | MEDICAID | 2028291 | |
| Ohio | Other | 000000024961 |
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