Individual
BALAMURALI BALASUBRAMANIAM
Active
Individual
BALAMURALI BALASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1725
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831350446
TRICARE - SOUTH
TX
05
—
297419801
—
TX
01
—
8DC790
BCBS-TX
TX
01
—
P1725
STATE LICENSE
TX
Enumeration date
06/17/2008
Last updated
11/26/2012
Update your record
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