Individual
BALAKRISHNAN SRIDHARAN
Active
Individual
BALAKRISHNAN SRIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19265
WV
208M00000X
Hospitalist Physician
19265
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809060000
—
WV
05
—
3810016539
—
WV
01
—
P00824219
RAILROAD MEDICARE
WV
Enumeration date
11/02/2005
Last updated
02/27/2013
Update your record
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