Arabolu, Bala Krishna V

Arabolu, Bala Krishna V is an sole proprietor health care provider with primary practice located at 1202 N 16Th Ave , Durant OK 74701-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Arabolu, Bala Krishna V can be contacted via phone (580) 924-1144.

Contact Information

Primary practice address
1202 N 16Th Ave Durant OK 74701-2122
Phone: (580) 924-1144
Fax: (580) 924-6667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11709 Oklahoma

Profile Details

NPI number 1245237312
LBN Legal business name Arabolu, Bala Krishna V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Jul 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245237312 NPPES
Oklahoma MEDICAID 100019390A
Oklahoma MEDICAID 100019390C
Oklahoma MEDICAID 0741308-01

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