Individual
DR. MALUR R BALAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD. FACS
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
124377
NY
2086S0129X
Vascular Surgery Physician
Primary
MD447516
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00446135
—
NY
01
—
100722FP
PREFFERDCARE
NY
01
—
PO10124377
BLUECROSS AND BLUE SHEILD
NY
Enumeration date
04/26/2006
Last updated
10/15/2014
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