Individual
DR. SRIRAM BALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224-2735
(410) 550-0565
Mailing address
297 CHARLOTTE CT, GREENCASTLE, PA 17225-8394
(717) 643-0739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05072
MD
Other
Enumeration date
04/21/2013
Last updated
07/21/2016
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