Dr. Duraisamy Balaguru
Pediatric Cardiologist
750 Washington St Nemc# 313
Boston
, Massachusetts 02111-1526
Dr. Duraisamy Balaguru
Pediatric Cardiologist
750 Washington St Nemc# 313
Boston
, Massachusetts 02111-1526
(617) 636-7435
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Duraisamy Balaguru
- 750 Washington St Nemc# 313
- Boston, MA
- Zip : 02111-1526
- Phone : (617) 636-7435
Second Address
- Dr. Duraisamy Balaguru
- 750 Washington St Nemc# 313
- Boston, MA
- Zip : 02111-1526
- Phone : (617) 636-7435
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 209734 | MA |
National Provider Identifier
| NPI | 1154382703 |
|---|---|
| Provider Name | Dr. Duraisamy Balaguru |
| First Address | Boston, MA 02111-1526 |
| Second Address | Boston, MA 02111-1526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 05/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0173380 | (05) | MA |
| H62798 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.