Individual
DR. UMASHANKAR K BALLEHANINNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2848
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD458572
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/25/2008
Last updated
03/04/2021
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