Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 34978 | AL |
NPI | 1003187642 |
---|---|
Provider Name | Anand Shanker Balachandran |
First Address | Huntsville, AL 35801-3455 |
Second Address | Huntsville, AL 35801-3455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2012 |
Last Update Date | 17/03/2020 |