Pratap Balusu MD

NPI 1083607519 - Internal Medicine - 207R00000X

NPI Details
NPI 1083607519
Gender Male
Enumeration Date 08/30/2005
Last Updated 10/31/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
STE 250
LIMA OH, 45801-3959, US
Phone (419) 227-7399
Fax (419) 229-0123
Business Location
PO BOX 636930
CINCINNATI OH, 45263-0001, US
Phone (513) 981-5015
Taxonomy Code 207R00000X
License State Ohio
License Number 72413
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According to our database, Pratap Balusu MD NPI is 1083607519, taxonomy code is 207R00000X and license number is 72413, license state is located at Ohio. Pratap Balusu MD physically located at 750 W High St, Lima OH, 45801-3959. NPI Number Pratap Balusu MD has the Individual type.

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1083607519 NPI number is provided on an as is basis without warranty of any kind. 1083607519 is maintained by the National Plan & Provider Enumeration System. The contents of Pratap Balusu MD are for informational purposes only.