Individual
DR. DORAIKANNU BALAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 SAINT RAYMONDS AVE, ANESTHESIA DEPARTMENT, BRONX, NY 10461
(718) 430-7473
(718) 430-7336
Mailing address
PO BOX A, ASSURE ANESTHESIA, NORTH BELLMORE, NY 11710-0745
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
140588
NY
207L00000X
Anesthesiology Physician
25MA03728600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708503
—
NY
01
—
P00154666
RAILROAD MEDICARE
—
Enumeration date
06/19/2006
Last updated
06/14/2018
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