Individual
DR. BALAJI PADMANABAN ATHREYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107-1381
(413) 733-9666
(413) 750-3432
Mailing address
100 WASON AVE, STE 200, SPRINGFIELD, MA 01107-1179
(413) 733-9666
(413) 750-3432
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
039023
CT
207RH0005X
Hypertension Specialist Physician
Primary
204517
MA
207RN0300X
Nephrology Physician
039023
CT
207RN0300X
Nephrology Physician
204517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105881
—
MA
Enumeration date
01/19/2006
Last updated
05/15/2019
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