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Contact Information

SAMYUKTHA BALABHADRA, MD
250 CHERRY LN STE 116
MANTECA, CA95337-4398
 Phone: 209-647-2184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SAMYUKTHA BALABHADRA · (Female)

NPI # 1629506605
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2017
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A177637
Hospital affiliation(s) Not Available
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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