Chandra, Balu
Chandra, Balu is an individual health care provider with primary practice located at 7835 Boulevard 26 , North Richland Hills TX 76180-7105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chandra, Balu can be contacted via phone (817) 589-1822.Contact Information
Primary practice address
7835 Boulevard 26
North Richland Hills TX 76180-7105
Phone: (817) 589-1822
Fax: (817) 595-4597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | K9035 | Texas |
Profile Details
| NPI number | 1588623342 |
|---|---|
| LBN Legal business name | Chandra, Balu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Sep 23rd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588623342 | NPPES |
| Texas | MEDICAID | 042139802 | |
| Texas | Other | 8740M0 |
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