Organization
HEALTH SPECIALISTS OF DAYTON INC
Active
Parent organization
HEALTH SPECIALISTS OF DAYTON INC
Other names
Dheepa Balakrishnan MD Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization
Contact information
Practice address
1 WYOMING ST, STE 3110 BERRY PAVILION, DAYTON, OH 45409-2722
(937) 208-6800
(937) 208-2139
Mailing address
1 WYOMING ST, STE 3110 BERRY PAVILION, DAYTON, OH 45409-2722
(937) 208-6800
(937) 208-2139
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584038
—
OH
Enumeration date
05/24/2006
Last updated
05/05/2010
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