SHAILESH BALASUBRAMANIAN
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1164748562- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1223 16TH ST STE 3400, SANTA MONICA, CA, 904041279
- Phone
- (310) 449-0939
- Fax
- (424) 259-7790
Specialties & Taxonomies
Internal Medicine
License: NY #274282
Internal Medicine, Pulmonary Disease
Primary License: CA #A168744