Individual
CHARAN BALAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-7473
Mailing address
335 MAJESTIC CV, MILTON, GA 30004-4568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
313928
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
06/30/2022
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