Individual
DR. GANESH R BALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 BEISER BLVD, SUITE 201, DOVER, DE 19904-8208
(302) 734-7246
(302) 678-8890
Mailing address
240 BEISER BLVD, SUITE 201, DOVER, DE 19904-8208
(302) 734-7246
(302) 678-8890
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
C1-0005467
DE
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
C1-0005467
DE
208VP0014X
Interventional Pain Medicine Physician
Primary
C1-0005467
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000898401
—
DE
Enumeration date
11/10/2005
Last updated
01/09/2024
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