Viswanathan, Balu Swamy

Viswanathan, Balu Swamy is an sole proprietor health care provider with primary practice located at 602 Indiana Ave Pediatric Intensive Care Unit, Umc Health System, Lubbock TX 79415-3364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Viswanathan, Balu Swamy can be contacted via phone (806) 775-8828.

Contact Information

Primary practice address
602 Indiana Ave Pediatric Intensive Care Unit, Umc Health System Lubbock TX 79415-3364
Phone: (806) 775-8828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J2830 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X J2830 Texas

Profile Details

NPI number 1093866790
LBN Legal business name Viswanathan, Balu Swamy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1093866790 NPPES
Texas Other 00J07N BLUE CROSS

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