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NPI Code Detail

MEDICARE: DR. SAVITHA BALARAMAN MD

MEDICARE: DR. SAVITHA BALARAMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology Physician4301072119MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083696694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAVITHA BALARAMAN MD
Provider Business Mailing Address
First Line : 27301 DEQUINDRE RD
Second Line : STE 314
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-399-4400
Fax Number : 248-399-4840
Provider Business Practice Location Address
First Line : 27301 DEQUINDRE RD
Second Line : STE 314
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-399-4400
Fax Number : 248-399-4840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 03/25/2011

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Directions to “ DR. SAVITHA BALARAMAN MD” Practice Location

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