Individual
DR. HANUMANTHIAH BALAKRISHNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5266
(860) 826-4992
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158906
—
CT
Enumeration date
08/07/2006
Last updated
04/07/2015
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