Active NPIIndividual provider

Dr. Sushila Balakrishnan, MD

Specialist in Staten Island, New York

NPI Number1093777435
Practice location
111 Canal St, Staten Island, NY 10304-2723
Fax
—
Last updated
July 8, 2007

Sushila Balakrishnan is a Specialist based in Staten Island, NY. Sushila Balakrishnan practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Sushila Balakrishnan is 1093777435 and holds a License No. 117311 (NY). The current practice location address for Sushila Balakrishnan is 111 Canal St, Staten Island, NY 10304-2723 and can be reached out via phone at 718-390-0712.

Provider Profile Details

NPI Number
1093777435
Provider Name
Sushila Balakrishnan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Canal St, Staten Island, NY 10304-2723
Phone Number
718-390-0712
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Other Names
Dr. Sushila Arasaretnam, MD (Former Name)
Provider Enumeration Date
April 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Canal St
Staten Island, NY 10304-2723
Zip
10304-2723
Phone Number
718-390-0712
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
197 City Blvd
Staten Island, NY 10301-3328
City
Staten Island
State
NY
Zip
10301-3328
Phone Number
718-447-5442

License Information

License Number
117311
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sushila Balakrishnan, MD?

The NPI number of Dr. Sushila Balakrishnan, MD is 1093777435. It was assigned on April 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sushila Balakrishnan, MD?

Dr. Sushila Balakrishnan, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 117311.

Where does Dr. Sushila Balakrishnan, MD practice?

The practice location is 111 Canal St, Staten Island, NY 10304-2723. The office can be reached at 718-390-0712 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093777435 directly on the NPPES registry website.

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