Individual
DR. RAJESH BALAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8941
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36110912
IL
207RP1001X
Pulmonary Disease Physician
036110912
IL
207RP1001X
Pulmonary Disease Physician
57354-21
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
57354
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361109121
—
IL
01
—
1477754927
BCBSWI
WI
05
—
1477754927
—
WI
01
—
BALAGRAJ
MERCYCARE INSURANCE
WI
Enumeration date
05/31/2007
Last updated
08/13/2024
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