National Provider Identifier Database

GANAPATHY BALA MD LLC
Allergy

A physician who specializes in the diagnosis, treatment, and management of allergies.


Contact Information

GANAPATHY BALA MD LLC
1315 S PUEBLO BLVD
PUEBLO, CO81005-2191
Phone: 719-561-9757
Fax: 719-561-9764
Website:
Specialty Taxonomy Code
* Allergy 207KA0200X

* Indicates primary specialty

NPI Profile & details for GANAPATHY BALA MD LLC

NPI Number 1912916529
Legal business name
LBN
GANAPATHY BALA MD LLC
Authorized official GANAPATHY BALA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/05/2006
Last updated 12/09/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 36577
  • CO Medicaid: 07835744

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.

Reviews for GANAPATHY BALA MD LLC

There are currently no reviews for GANAPATHY BALA MD LLC


NPIdb - Home
v2.201