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
Fax: (516) 622-5005
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437139680 NPPES
New York MEDICAID 02182305

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