Individual
DR. KUMARAVELU BALASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 N RIVERSIDE AVE, STE B, RIALTO, CA 92377-4696
(909) 881-3032
(909) 881-0668
Mailing address
2006 N RIVERSIDE AVE, STE B, RIALTO, CA 92377-4696
(909) 881-3032
(909) 881-0668
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A44716
CA
Other
Enumeration date
04/18/2006
Last updated
10/09/2015
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