Praveen Kumar, Valiparambil Balakrishnan

Praveen Kumar, Valiparambil Balakrishnan is an individual health care provider with primary practice located at 960 Avent Dr , Grenada MS 38901-5230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Praveen Kumar, Valiparambil Balakrishnan can be contacted via phone (662) 227-7008.

Contact Information

Primary practice address
960 Avent Dr Grenada MS 38901-5230
Phone: (662) 227-7008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PT 12243 North Dakota
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 23517 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23517 Mississippi

Profile Details

NPI number 1609141811
LBN Legal business name Praveen Kumar, Valiparambil Balakrishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated May 22nd, 2017 - about 8 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 1609141811 NPPES
Mississippi MEDICAID 07109554
Mississippi MEDICAID 16811

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