# MALA MURTHY BALAKUMAR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679500508
- **Authorized official:** DR. MALA MURTHY BALAKUMAR (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (516) 801-2288

## Contact information

- **Practice address:** 140 LOCKWOOD AVE, SUITE 216, NEW ROCHELLE, NY 10801-4915
- **Practice address phone:** (516) 801-2288
- **Mailing address:** 56 SHADETREE LN, ROSLYN HEIGHTS, NY 11577-2503
- **Mailing address phone:** (516) 801-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 193074 | NY | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020