Chandra, Balu

Chandra, Balu is an individual health care provider with primary practice located at 7835 Boulevard 26 , North Richland Hills TX 76180-7105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chandra, Balu can be contacted via phone (817) 589-1822.

Contact Information

Primary practice address
7835 Boulevard 26 North Richland Hills TX 76180-7105
Fax: (817) 595-4597
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X K9035 Texas

Profile Details

NPI number 1588623342
LBN Legal business name Chandra, Balu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 23rd, 2020 - about 5 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 1588623342 NPPES
Texas MEDICAID 042139802
Texas Other 8740M0

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