Chitrabanu, Balasubramaniam

Chitrabanu, Balasubramaniam is an individual health care provider with primary practice located at 3120 Parkway St Nw Suite A, Canton OH 44708-3981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chitrabanu, Balasubramaniam can be contacted via phone (330) 452-9460.

Contact Information

Primary practice address
3120 Parkway St Nw Suite A Canton OH 44708-3981
Phone: (330) 452-9460
Fax: (330) 452-9520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35044268C Ohio

Profile Details

NPI number 1700883675
LBN Legal business name Chitrabanu, Balasubramaniam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 17th, 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 1700883675 NPPES
Ohio MEDICAID 0429414
Ohio Other 1376559799
Ohio Other 000000130642
Ohio Other 4301590

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