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Individual
PRAKASH BALASUBRAMANIAN
Active
Individual
PRAKASH BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
51341-20
WI
208M00000X
Hospitalist Physician
Primary
51341-20
WI
Other
Enumeration date
12/19/2006
Last updated
09/07/2011
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