Individual
BALACHANDRAN WARIYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(402) 697-1481
Mailing address
1514 S 189TH CT, OMAHA, NE 68130-2835
(402) 697-1481
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15438
NE
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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