Individual
DR. BALAJI SHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 BELLE FONTAINE CIR, SUITE #403, LAKE MARY, FL 32746
(917) 683-3516
Mailing address
209 BELLE FONTAINE CIRCLE, SUITE #403, LAKE MARY, FL 32746
(917) 683-3516
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036172817
IL
207RI0011X
Interventional Cardiology Physician
ME154696
FL
Other
Enumeration date
04/02/2015
Last updated
09/17/2025
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