Netaji, Balijepalli
Netaji, Balijepalli is an individual health care provider with primary practice located at 12201 Renfert Way Suite 245, Austin TX 78758-5368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Netaji, Balijepalli can be contacted via phone (512) 419-9733.Contact Information
Primary practice address
12201 Renfert Way Suite 245
Austin TX 78758-5368
Phone: (512) 419-9733
Fax: (512) 454-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | J1330 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | J1330 | Texas |
Profile Details
| NPI number | 1982642914 |
|---|---|
| LBN Legal business name | Netaji, Balijepalli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jan 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982642914 | NPPES |
| Texas | MEDICAID | 124483206 | |
| Texas | Other | P00646006 | |
| Texas | MEDICAID | 124483207 | |
| Texas | MEDICAID | 0811853-01 | |
| Texas | Other | 8BP360 | |
| Texas | Other | 830007602 | |
| Texas | MEDICAID | 124483205 |
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