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Organization
SUJATA S. BALULAD, MD., PA
Active
Organization
SUJATA S. BALULAD, MD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATA SHANKARAPPA BALULAD MD (PHYSICIAN)
(518) 573-1552
Entity
Organization
Contact information
Practice address
33041 PROFESSIONAL DR STE 101, LEESBURG, FL 34788-3761
(352) 478-0010
(949) 577-4163
Mailing address
1095 HIGHWAY A1A APT 2201, SATELLITE BEACH, FL 32937
(352) 478-0010
(949) 577-4163
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
07/04/2023
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