Individual
DR. NATRAJ NIDAMBOOR BALLAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2727 W MARTIN LUTHER KING BLVD, SUITE 620, TAMPA, FL 33607
(813) 874-1662
(813) 879-5064
Mailing address
2727 W MARTIN LUTHER KING BLVD, SUITE 620, TAMPA, FL 33607
(813) 874-1662
(813) 879-5064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0069549
FL
Other
Enumeration date
10/06/2005
Last updated
07/01/2010
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