Balu, Ganesh R

Balu, Ganesh R is an individual health care provider with primary practice located at 240 Beiser Blvd Suite 201, Dover DE 19904-8208. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Balu, Ganesh R can be contacted via phone (302) 734-7246.

Contact Information

Primary practice address
240 Beiser Blvd Suite 201 Dover DE 19904-8208
Phone: (302) 734-7246
Fax: (302) 678-8890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X C1-0005467 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X C1-0005467 Delaware
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X C1-0005467 Delaware

Profile Details

NPI number 1073594693
LBN Legal business name Balu, Ganesh R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 9th, 2024 - about 2 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 1073594693 NPPES
Delaware MEDICAID 0000898401

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