Active NPIIndividual providerSole proprietor

Dr. Duraisamy Balaguru, MD

Pediatrics, Pediatric Cardiology in Boston, Massachusetts

NPI Number1154382703
Practice location
750 Washington St, Nemc# 313, Boston, MA 02111-1526
Fax
—
Last updated
November 5, 2020

Duraisamy Balaguru is a Pediatrics, Pediatric Cardiology based in Boston, MA. Duraisamy Balaguru practices in Boston, MA and has the professional credentials of MD. The NPI Number for Duraisamy Balaguru is 1154382703 and holds a License No. 209734 (MA). The current practice location address for Duraisamy Balaguru is 750 Washington St, Nemc# 313, Boston, MA 02111-1526 and can be reached out via phone at 617-636-7435.

Provider Profile Details

NPI Number
1154382703
Provider Name
Duraisamy Balaguru
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 Washington St, Nemc# 313, Boston, MA 02111-1526
Phone Number
617-636-7435
Primary Taxonomy
Pediatrics, Pediatric Cardiology · 2080P0202X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2006
Last Update Date
November 5, 2020
Certification Date
November 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 Washington St
Nemc# 313
Boston, MA 02111-1526
City
Boston
Zip
02111-1526
Phone Number
617-636-7435
Boston, MA 02111Get directions →

Provider Business Mailing Address Details

Address
750 Washington St
Nemc# 313
Boston, MA 02111-1526
City
Boston
State
MA
Zip
02111-1526
Phone Number
617-636-7435

License Information

License Number
209734
License State
MA
Taxonomy
Pediatrics, Pediatric Cardiology · 2080P0202X · 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. Duraisamy Balaguru, MD?

The NPI number of Dr. Duraisamy Balaguru, MD is 1154382703. It was assigned on March 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Duraisamy Balaguru, MD?

Dr. Duraisamy Balaguru, MD is registered under the primary taxonomy Pediatrics, Pediatric Cardiology (code 2080P0202X), licensed in MA under license number 209734.

Where does Dr. Duraisamy Balaguru, MD practice?

The practice location is 750 Washington St, Nemc# 313, Boston, MA 02111-1526. The office can be reached at 617-636-7435 (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 1154382703 directly on the NPPES registry website.

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