Individual
DR. SUCHITRA M BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6366
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D57132
MD
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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