Individual
DR. SUSHEELA K BALASUBRAMANIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
399 E HIGHLAND AVE STE 301, SAN BERNARDINO, CA 92404-3852
(909) 886-4555
(909) 881-0668
Mailing address
399 E HIGHLAND AVE STE 301, SAN BERNARDINO, CA 92404-3852
(909) 886-4555
(909) 881-0668
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A044907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449070
—
CA
Enumeration date
07/10/2006
Last updated
08/15/2014
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