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Contact Information

JAY S BALACHANDRAN, MD
13133 N PORT WASHINGTON RD
SUITE 104
MEQUON, WI53097-2419
 Phone: 262-243-5044
 Fax: 262-243-2510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAY S BALACHANDRAN · (Male)

NPI # 1396786273
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 11/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 64930
  • WI Medicaid 1396786273
Hospital affiliation(s)
  • COLUMBIA ST MARY'S HOSPITAL MILWAUKEE - (Acute Care)
    2323 N LAKE DR
    MILWAUKEE, WI 53211
  • COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC - (Acute Care)
    13111 N PORT WASHINGTON RD
    MEQUON, WI 53097
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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