Organization
BAY PEDIATRIC CARDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATRAJ BALLAL M.D. (PHYSICIAN)
(813) 890-8004
Entity
Organization
Contact information
Practice address
2727 W MARTIN LUTHER KING BLVD, SUITE 620, TAMPA, FL 33607
(813) 890-8004
(813) 290-9691
Mailing address
2727 W MARTIN LUTHER KING BLVD, SUITE 620, TAMPA, FL 33607
(813) 890-8004
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0069549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252702200
—
FL
Enumeration date
10/06/2005
Last updated
04/08/2015
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