Organization
M BALASUBRAMANIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESWARI J BALASUBRAMAINA MD (OWNER)
(702) 597-1597
Entity
Organization
Contact information
Practice address
5375 S FORT APACHE RD, SUITE 110, LAS VEGAS, NV 89148-7623
(702) 597-1597
(702) 736-1284
Mailing address
5375 S FORT APACHE RD, SUITE 110, LAS VEGAS, NV 89148-7623
(702) 597-1597
(702) 736-1284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10258
NV
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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