Individual
VIDHYA BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 30TH ST, SUITE 314, OAKLAND, CA 94609-3310
(510) 465-6800
(510) 268-0634
Mailing address
411 30TH ST, SUITE 314, OAKLAND, CA 94609-3310
(510) 841-0689
(510) 841-8119
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A108315
CA
207RP1001X
Pulmonary Disease Physician
Primary
A108315
CA
Other
Enumeration date
06/05/2007
Last updated
01/11/2022
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