Individual
DHEEPA BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WYOMING ST, 3110 BERRY PAVILION, DAYTON, OH 45409-2722
(937) 208-6800
(937) 208-2139
Mailing address
1 WYOMING ST, 3110 BERRY PAVILION, DAYTON, OH 45409-2722
(937) 208-6800
(937) 208-2139
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.086629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584038
—
OH
Enumeration date
06/06/2006
Last updated
12/20/2021
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