Gopidasan, Balaji

Gopidasan, Balaji is an individual health care provider with primary practice located at 620 Madison St , Syracuse NY 13210-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Gopidasan, Balaji can be contacted via phone (315) 426-3630.

Contact Information

Primary practice address
620 Madison St Syracuse NY 13210-2319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X L2956 Alabama

Profile Details

NPI number 1336300607
LBN Legal business name Gopidasan, Balaji
Credentials M.B.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 16th, 2010 - about 14 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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