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BALASUBRAMANYAN NAPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 902-5291

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036141766
IL
2080P0203X
Pediatric Critical Care Medicine Physician
04-37880
KS
2080P0203X
Pediatric Critical Care Medicine Physician
32447
IA
2080P0203X
Pediatric Critical Care Medicine Physician
36232
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1171561
IA
05
201116270A
KS
01
45651
WELLMARK
IA
01
KA2129031
MEDICARE PTAN
KS
Enumeration date
08/31/2006
Last updated
02/13/2023
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