Balasubramanian, Manjula

Balasubramanian, Manjula is an individual health care provider with primary practice located at 245 N 15Th St Ms 435, Philadelphia PA 19102-1101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Balasubramanian, Manjula can be contacted via phone (215) 762-8873.

Contact Information

Primary practice address
245 N 15Th St Ms 435 Philadelphia PA 19102-1101
Phone: (215) 762-8873
Fax: (215) 762-3274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD032700E Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD032700E Pennsylvania

Profile Details

NPI number 1336191683
LBN Legal business name Balasubramanian, Manjula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 31st, 2019 - about 6 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 1336191683 NPPES
Pennsylvania MEDICAID 001248171

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