Individual
MR. BALAJI KODANDARAMAN AYYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 614-1234
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
S1046
TX
Other
Enumeration date
05/20/2013
Last updated
02/20/2023
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