Organization
DOCTOR BALA & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALA CHANDER RANGASWAMI M.D. (CEO PHYSICIAN)
(317) 650-9740
Entity
Organization
Contact information
Practice address
2158 INTELLIPLEX DR, SUITE 106, SHELBYVILLE, IN 46176-8548
(317) 650-9740
Mailing address
8011 HEYWARD DR, INDIANAPOLIS, IN 46250-4226
(317) 650-9740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01046233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245480979
NPI NUMBER
—
Enumeration date
06/26/2009
Last updated
09/09/2009
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