Individual
SHRUTHI BALAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(609) 578-8189
Mailing address
98 CHATHAM CT, EAST WINDSOR, NJ 08520-2642
(609) 578-8189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09432800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2010
Last updated
07/14/2025
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