National Provider Identifier
Balagajan Balasubramaniam, M.D.
Balagajan Balasubramaniam, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 898-4806.
Profile Overview
- NPI
- 1346696713
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 04, 2016
- Last Updated
- September 23, 2019
Practice Location
- 462 Grider Street
- Buffalo, NY 14215
Phone: (716) 898-4806
Mailing Address
- 462 Grider St.
- Buffalo, NY 14215
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1346696713
- Entity Type
- Individual
- Last Name
- Balasubramaniam
- First Name
- Balagajan
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 462 Grider St.
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215
- Mailing Country
- US
- Mailing Phone
- (716) 898-4806
- Mailing Fax
- (716) 898-3279
- Practice Street Address
- 462 Grider Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 898-4806
- Enumeration Date
- May 04, 2016
- Last Updated
- September 23, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)