Individual
DR. KEKI R BALSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 21ST AVE S STE 5025, NASHVILLE, TN 37232-0014
(615) 343-6165
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014025045
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2014025045
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
57231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
05/20/2008
Last updated
03/22/2022
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