Individual
NIVEDITHA BALAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
(210) 704-4527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S4440
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
S4440
TX
Other
Enumeration date
07/11/2014
Last updated
11/14/2024
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