Kanchana Bala Md Llc

LBN: Kanchana Bala Md Llc
Kanchana Bala Md Llc is an health care organization with primary practice located at 6 Walter Ct , Rutherford NJ 07070-2558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kanchana Bala Md Llc can be contacted via phone (201) 893-2939, or through Balasubramanian, Kanchana via phone (201) 893-2939.

Contact Information

Primary practice address
6 Walter Ct Rutherford NJ 07070-2558
Phone: (201) 893-2939
Fax: (201) 460-0770
Website:
Map and Directions
Authorized official contact:
Name: Balasubramanian, Kanchana Doctor of Medicine (MD)
Phone: (201) 893-2939

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07605600 New Jersey

Profile Details

NPI number 1952442329
LBN Legal business name Kanchana Bala Md Llc
DBA Doing business as
Authorized official Balasubramanian, Kanchana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Jan 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952442329 NPPES
New Jersey MEDICAID 0016497

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