Individual
DR. BALAJI PRASAD ELLAPP MOHANAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S. COULTER STREET, SUITE 2500, AMARILLO, TX 79106-1786
(806) 414-9100
(806) 354-5717
Mailing address
11234 ANDERSON STREET, MC 1503A, PCCM DEPARTMENT, LOMA LINDA, CA 92354
(806) 414-9100
(412) 987-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186672
CA
Other
Enumeration date
04/27/2020
Last updated
06/23/2023
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