Athreya, Balaji Padmanaban
Athreya, Balaji Padmanaban is an individual health care provider with primary practice located at 100 Wason Ave Suite 200, Springfield MA 01107-1381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Hypertension Specialist is his primary health care specialty. Athreya, Balaji Padmanaban can be contacted via phone (413) 733-9666.Contact Information
Primary practice address
100 Wason Ave Suite 200
Springfield MA 01107-1381
Phone: (413) 733-9666
Fax: (413) 750-3432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | 039023 | Connecticut |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 204517 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 039023 | Connecticut |
| Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | 204517 | Massachusetts |
Profile Details
| NPI number | 1598745010 |
|---|---|
| LBN Legal business name | Athreya, Balaji Padmanaban |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | May 15th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598745010 | NPPES |
| Massachusetts | MEDICAID | 0105881 |
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