Ganapathy Bala MD LLC

NPI #1912916529 in Pueblo, Colorado

Provider Information

NPI Number: 1912916529
Entity Type: Organization
Organization Name: Ganapathy Bala MD LLC
Primary Specialty: Allergy & Immunology - Allergy
Enumeration Date: Aug 5, 2006
Last Updated: Dec 9, 2015

Practice Location

Address: 1315 S PUEBLO BLVD
City: Pueblo
State: Colorado
ZIP Code: 81005-2191
Phone: (719) 561-9757

Authorized Official

Name: GANAPATHY BALA, M.D.
Title: OWNER
Phone: (719) 561-9757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary

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