Individual
VAIDYANATHAPURAM BALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 NEVINS ST., SUITE 202 SEMC - MEDICAL SPECIALTIES PRACTICE, BRIGHTON, MA 02135
(617) 779-6700
(617) 779-6771
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
204354
MA
Other
Enumeration date
05/31/2006
Last updated
03/11/2025
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