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MS. SUJATA SHANKARAPPA BALULAD M.D.

>> Hospitalist >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1952501454

Individual Registrant:
MS. SUJATA SHANKARAPPA BALULAD M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
119 LONGWOOD AVE  ROCKLEDGE, FL 32955-2827 US
Tel: 321-632-6963  Fax: 321-632-6983

Contact information for business:
77 WARREN ST # 5 BRIGHTON, MA 02135-3601 US
Tel: 941-621-4524  Fax: 844-664-0166

Registration Information:
NPI: 1952501454
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
NY003280
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NY003280
Y207RC0001XAllopathic & Osteopathic Physicians
Internal Medicine
FLME131641
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
MA234022

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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