Individual
BANUJAN BALACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6450
(559) 499-6451
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A164139
CA
Other
Enumeration date
04/01/2018
Last updated
07/01/2021
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