Individual
MS. SHANTI BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D85412
MD
207RP1001X
Pulmonary Disease Physician
Primary
D85412
MD
Other
Enumeration date
04/10/2015
Last updated
06/29/2023
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