National Provider Identifier

Divya Balasubramanian, D.O.

Divya Balasubramanian, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-1499.

NPI 1437410131Buffalo, NYEmergency Medicine Physician

Profile Overview

NPI
1437410131
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
May 30, 2012
Last Updated
January 02, 2020

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-1499

Mailing Address

  • 4835 Lbj Fwy Ste 900
  • Dallas, TX 75244-6001

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1437410131
Entity Type
Individual
Last Name
Balasubramanian
First Name
Divya
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
4835 Lbj Fwy Ste 900
Mailing City
Dallas
Mailing State
TX
Mailing ZIP Code
75244-6001
Mailing Country
US
Mailing Phone
(469) 420-5544
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-1499
Enumeration Date
May 30, 2012
Last Updated
January 02, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)