Individual
DR. BHAVANI BALARAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 ASHVILLE AVE, SUITE 301, CARY, NC 27518-8682
(919) 851-6901
(919) 851-9354
Mailing address
300 ASHVILLE AVE, SUITE 301, CARY, NC 27518-8682
(919) 851-6901
(919) 851-9354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2008-01670
NC
207RC0000X
Cardiovascular Disease Physician
44906
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092897600
—
MN
01
—
20223417
MEDICARE
NC
05
—
5911146
—
NC
Enumeration date
12/27/2005
Last updated
01/17/2011
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