Individual
SUDHEER BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 JESSE HILL JR DR SE FL 3, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
693 PEACHTREE ST NE APT 23D, ATLANTA, GA 30308-4149
(301) 787-2185
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92704
GA
390200000X
Student in an Organized Health Care Education/Training Program
0116022352
VA
Other
Enumeration date
06/10/2010
Last updated
07/26/2022
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