HomeNPI Verification

NPI Verification

National Provider Identifier: 1609214519

Gautam Balakrishnan, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Primary

Practice Address

5301 FARAON ST STE 210B

SAINT JOSEPH, MO 64506

Phone: 816-271-1385

NPI Enumeration Date

June 13, 2013

NPI Number

1609214519

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry