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Individual
DR. RAJESH BALAGANI
Active
Individual
DR. RAJESH BALAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36110912
IL
207RP1001X
Pulmonary Disease Physician
036110912
IL
207RP1001X
Pulmonary Disease Physician
57354-21
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
57354
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361109121
—
IL
01
—
1477754927
BCBSWI
WI
05
—
1477754927
—
WI
01
—
BALAGRAJ
MERCYCARE INSURANCE
WI
Enumeration date
05/31/2007
Last updated
08/13/2024
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