Individual
DR. BALAJI LAXMANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60097503
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60097503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962602920
—
WA
01
—
P01713933
RR PTAN WVH
WA
Enumeration date
07/18/2007
Last updated
10/24/2016
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