GANAPATHY BALA MD LLC; NPI #1912916529

Contact Information

GANAPATHY BALA MD LLC

1315 S PUEBLO BLVD
PUEBLO, CO 81005-2191

Phone: 719-561-9757
Fax: 719-561-9764
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Allergy	207KA0200X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for GANAPATHY BALA MD LLC

NPI # 1912916529

LBN Legal business name GANAPATHY BALA MD LLC

Authorized official GANAPATHY BALA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/05/2006

Last updated 12/09/2015 - About 10 years ago

Identifiers

CO	License #	36577
CO	Medicaid	07835744

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GANAPATHY BALA MD LLC

Contact Information

Specialty

Allergy

NPI Profile & details for GANAPATHY BALA MD LLC

Reviews for GANAPATHY BALA MD LLC