Individual
DR. BALIJEPALLI NETAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12201 RENFERT WAY, SUITE 245, AUSTIN, TX 78758-5368
(512) 419-9733
(512) 454-4575
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
J1330
TX
207RX0202X
Medical Oncology Physician
Primary
J1330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811853-01
—
TX
05
—
124483205
—
TX
05
—
124483206
—
TX
05
—
124483207
—
TX
01
—
830007602
RAILROAD MEDICARE NUMBER
TX
01
—
8BP360
BCBS OF TX
TX
01
—
P00646006
RAILROAD MEDICARE
TX
Enumeration date
06/03/2006
Last updated
01/13/2009
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