Individual
BALASUBRAMANYAM KRISHNIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W BUTLER RD, MAULDIN, SC 29662-2538
(864) 277-8300
(864) 288-8722
Mailing address
300 W BUTLER RD, MAULDIN, SC 29662-2538
(864) 277-8300
(864) 288-8722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196521
—
SC
Enumeration date
07/01/2006
Last updated
05/13/2013
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