Individual
PRAKASH BALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 E YEAGER DR, CHANDLER, AZ 85286-1598
(480) 699-5536
(480) 699-9283
Mailing address
2487 S GILBERT RD STE 106-486, GILBERT, AZ 85295-8899
(480) 699-5536
(480) 699-9283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279809
AZ
207RC0000X
Cardiovascular Disease Physician
279809
AZ
207RI0011X
Interventional Cardiology Physician
Primary
279809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090034
—
AZ
Enumeration date
06/22/2007
Last updated
03/09/2026
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