Individual
MANJUNATH BALARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 SANTA FE ST STE 204, CORPUS CHRISTI, TX 78404-2287
(361) 444-5255
Mailing address
1315 SANTA FE ST STE 204, CORPUS CHRISTI, TX 78404-2287
(361) 444-5255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R3026
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
R3026
TX
Other
Enumeration date
04/13/2012
Last updated
07/23/2022
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