Balmuri, Sudhaker Rao

Balmuri, Sudhaker Rao is an individual health care provider with primary practice located at 343 Park Ave Suite A5, East Orange NJ 07017. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Balmuri, Sudhaker Rao can be contacted via phone (973) 414-8500.

Contact Information

Primary practice address
343 Park Ave Suite A5 East Orange NJ 07017
Phone: (973) 414-8500
Fax: (973) 414-8500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 17979 New Jersey

Profile Details

NPI number 1003824913
LBN Legal business name Balmuri, Sudhaker Rao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 4th, 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 1003824913 NPPES
New Jersey Other 1740345693 741 BROADWAY
New Jersey MEDICAID 6130801 741 BROADWAY
New Jersey Other 1194996645 741 BROADWAY
New Jersey Other 1972778413 741 BROADWAY
New Jersey Other 1932370483 741 BROADWAY

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