Individual
DR. JAYALAKSHMI PANICKER BALAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35133745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298319
—
OH
Enumeration date
07/30/2012
Last updated
01/05/2023
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