Individual
VIJAY PURUSHOTH BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 E KASHIAN LN STE 260, FRESNO, CA 93701-2234
(559) 256-5130
(559) 485-4504
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A94876
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A94876
CA
207RP1001X
Pulmonary Disease Physician
Primary
A94876
CA
Other
Enumeration date
07/18/2006
Last updated
01/14/2025
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