Individual
BOPANNA B BALLACHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6709 ACADEMY RD NE STE B, ALBUQUERQUE, NM 87109-3363
(505) 207-7550
(505) 207-7559
Mailing address
11907 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-1035
(505) 385-5601
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2084
NM
Other
Enumeration date
06/16/2005
Last updated
03/09/2022
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