DR. Ambalavanan Balasubramanian, MD

NPI #1184799066 in Randallstown, Maryland

Provider Information

NPI Number: 1184799066
Entity Type: Individual
Name: DR. Ambalavanan Balasubramanian, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 23, 2006
Last Updated: Aug 27, 2010

Practice Location

Address: 5311 OLD COURT RD
City: Randallstown
State: Maryland
ZIP Code: 21133-5241
Phone: (410) 922-7382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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