Individual
DR. NARAYAN BALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2011
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36663
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072927
RAIL ROAD MEDICARE
—
05
—
32541600
—
WI
Enumeration date
11/23/2005
Last updated
02/14/2009
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