Individual
BALAJI S DATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 SW 6TH AVE, SUITE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Mailing address
2200 SW 6TH AVE, SUITE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-36685
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085050A
—
KS
Enumeration date
05/24/2007
Last updated
02/09/2017
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