Individual
DR. JAIKRISHNA BALKISSOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2999 REGENT ST, SUITE 300, BERKELEY, CA 94705-2146
(510) 548-1717
(510) 548-1715
Mailing address
2999 REGENT ST, SUITE 300, BERKELEY, CA 94705-2146
(510) 548-1717
(510) 548-1715
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G071363
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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