Sridharan, Balakrishnan
Sridharan, Balakrishnan is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Hospitalists Program, Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sridharan, Balakrishnan can be contacted via phone (304) 388-5848.Contact Information
Primary practice address
3200 Maccorkle Ave Se Hospitalists Program
Charleston WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19265 | West Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 19265 | West Virginia |
Profile Details
| NPI number | 1881685550 |
|---|---|
| LBN Legal business name | Sridharan, Balakrishnan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 27th, 2013 - about 13 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 | 1881685550 | NPPES |
| West Virginia | MEDICAID | 1809060000 | |
| West Virginia | Other | P00824219 | |
| West Virginia | MEDICAID | 3810016539 |
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