Individual
BALASUBRAHMANYAN SHANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A43017
CA
Other
Enumeration date
11/13/2006
Last updated
11/29/2021
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