Individual
DR. BALAJI AYYAPPAN VEERAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S MAIN ST FL 1, FORT WORTH, TX 76104-4909
(817) 702-6926
(817) 702-6930
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L8993
TX
207UN0901X
Nuclear Cardiology Physician
L8993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166134001
—
TX
05
—
166134003
—
TX
01
—
8CG971
BCBS
TX
Enumeration date
08/15/2005
Last updated
05/14/2019
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