Balakrishnan, Amaravathi
Balakrishnan, Amaravathi is an sole proprietor health care provider with primary practice located at 155 N Jackson Ave Ste 101 Suite 101, San Jose CA 95116-1925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balakrishnan, Amaravathi can be contacted via phone (408) 259-1250.Contact Information
Primary practice address
155 N Jackson Ave Ste 101 Suite 101
San Jose CA 95116-1925
Phone: (408) 259-1250
Fax: (408) 259-7439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A30274 | California |
Profile Details
| NPI number | 1548292303 |
|---|---|
| LBN Legal business name | Balakrishnan, Amaravathi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Dec 20th, 2011 - about 15 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 | 1548292303 | NPPES |
| California | MEDICAID | 00A302740 |
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