Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.098513 | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57963 | MN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 68843 | WI |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | C165904 | CA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ML20008190 | WA |
N | 207YP0228X | Pediatric Otolaryngology | 57963 | MN |
Y | 207YP0228X | Pediatric Otolaryngology | C165904 | CA |
NPI | 1528070844 |
---|---|
Provider Name | Karthik Balakrishnan |
First Address | Palo Alto, CA 94304-1611 |
Second Address | Palo Alto, CA 94304-1503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 04/09/2020 |