Krishnan, Bala A

Krishnan, Bala A is an individual health care provider with primary practice located at 8900 Se 165Th Mulberry Ln , The Villages FL 32162-5884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krishnan, Bala A can be contacted via phone (352) 674-5000.

Contact Information

Primary practice address
8900 Se 165Th Mulberry Ln The Villages FL 32162-5884
Phone: (352) 674-5000
Fax: (352) 674-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME48372 Florida

Profile Details

NPI number 1437139805
LBN Legal business name Krishnan, Bala A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 11th, 2013 - about 11 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 1437139805 NPPES
Florida Other 04421 BCBS
Florida MEDICAID 274035400 BCBS

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