Individual
PADMINI BALAGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D RD CDE IBCLC
Contact information
Practice address
1641 W GIRARD AVE, PHILADELPHIA, PA 19130-1614
(848) 219-9858
Mailing address
1901 JFK BLVD, APT. 802, PHILADELPHIA, PA 19103-1502
(848) 219-9858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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