Individual
DR. BALAGAJAN BALASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 898-4806
Mailing address
462 GRIDER ST., BUFFALO, NY 14215
(716) 898-4806
(716) 898-3279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300439
NY
Other
Enumeration date
05/04/2016
Last updated
09/23/2019
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