Individual
DR. GEETHA BALASUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 EDGEWATER PT STE 303, LAKE ST LOUIS, MO 63367-2954
(636) 265-2225
(636) 265-0320
Mailing address
1000 EDGEWATER PT STE 303, LAKE ST LOUIS, MO 63367-2954
(636) 265-2225
(636) 265-0320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2008019340
MO
Other
Enumeration date
08/05/2006
Last updated
08/14/2024
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