National Provider Identifier Database

SAMYUKTHA BALABHADRA, MD – NPI #1629506605
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

SAMYUKTHA BALABHADRA, MD
250 CHERRY LN STE 116
MANTECA, CA95337-4398
Phone: 209-647-2184
Fax:
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for SAMYUKTHA BALABHADRA

NPI Number 1629506605
Credentials MD
Entity Individual
Enumeration date 06/02/2017
Last updated 10/30/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • CA License #: A177637
Hospital affiliation n/a

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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