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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 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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