Individual
DR. BALAMURUGAN PONNIAH SANKARAPANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2228
(817) 877-5858
(817) 335-4418
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 877-5858
(817) 335-4418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4721
TX
207RN0300X
Nephrology Physician
Primary
N4721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205450401
—
TX
01
—
8U1257
BLUE CROSS
TX
Enumeration date
05/03/2007
Last updated
09/02/2022
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