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Individual

DR. RAJINDER D BALASURIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
47 W WEBSTER ST, SEBREE, KY 42455-2112
(270) 835-7541
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5897

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036149259
IL
207R00000X
Internal Medicine Physician
079338
GA

Other

Enumeration date
09/20/2015
Last updated
03/18/2024
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