Balwan, Khousidai S
Balwan, Khousidai S is an individual health care provider with primary practice located at 865 Northern Blvd , Great Neck NY 11021-5310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Balwan, Khousidai S can be contacted via phone (516) 622-5000.Contact Information
Primary practice address
865 Northern Blvd
Great Neck NY 11021-5310
Phone: (516) 622-5000
Fax: (516) 622-5005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 211415 | New York |
Profile Details
| NPI number | 1437139680 |
|---|---|
| LBN Legal business name | Balwan, Khousidai S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2006 |
| Last updated | Jun 28th, 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 | 1437139680 | NPPES |
| New York | MEDICAID | 02182305 |
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