DR. Latha Balamuniswamy, MD

NPI #1336113992 in Moline, Illinois

Provider Information

NPI Number: 1336113992
Entity Type: Individual
Name: DR. Latha Balamuniswamy, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 13, 2006
Last Updated: Feb 5, 2015

Practice Location

Address: 106 19TH AVE
Address 2: SUITE 103
City: Moline
State: Illinois
ZIP Code: 61265-3700
Phone: (309) 779-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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