Balakrishnan, Gautam

Balakrishnan, Gautam is an sole proprietor health care provider with primary practice located at 5301 Faraon St Ste 210B , Saint Joseph MO 64506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Balakrishnan, Gautam can be contacted via phone (816) 271-1385.

Contact Information

Primary practice address
5301 Faraon St Ste 210B Saint Joseph MO 64506
Phone: (816) 271-1385
Fax: (816) 271-1379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R9809 Iowa
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2016023333 Missouri

Profile Details

NPI number 1609214519
LBN Legal business name Balakrishnan, Gautam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2013
Last updated May 26th, 2021 - about 5 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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