Individual
DR. SUPPIAH BALACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD., GALVESTON, TX 77555-1022
(409) 772-0817
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD., GALVESTON, TX 77555-1022
(409) 772-0817
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7809
CA
Other
Enumeration date
05/11/2006
Last updated
08/21/2007
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