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Individual

DR. AMMUNNI SANKARAN BALASUBRAMANIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17273 STATE ROUTE 104, RADIOLOGY 114, CHILLICOTHE, OH 45601-8608
(740) 773-1141
(740) 772-7198
Mailing address
17273 STATE ROUTE 104, V A MEDICAL CENTER, CHILLICOTHE, OH 45601-8608
(740) 773-1141

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14174
NE

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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