Sridharan, Balakrishnan

Sridharan, Balakrishnan is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Hospitalists Program, Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sridharan, Balakrishnan can be contacted via phone (304) 388-5848.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Hospitalists Program Charleston WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19265 West Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19265 West Virginia

Profile Details

NPI number 1881685550
LBN Legal business name Sridharan, Balakrishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 27th, 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 1881685550 NPPES
West Virginia MEDICAID 1809060000
West Virginia Other P00824219
West Virginia MEDICAID 3810016539

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