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NPI Code Detail

MEDICARE: DANA S BALDERRAMA MD

MEDICARE: DANA S BALDERRAMA 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
1208200000XPlastic Surgery Physician32551AZ
22082S0105XSurgery of the Hand (Plastic Surgery) Physician32551AZ
3208200000XPlastic Surgery Physician04-48701KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326087206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA S BALDERRAMA MD
Provider Business Mailing Address
First Line : 2902 SW ASBURY DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-4466
Country : US
Telephone Number : 785-354-9591
Fax Number :
Provider Business Practice Location Address
First Line : 2902 SW ASBURY DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-4466
Country : US
Telephone Number : 785-354-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/01/2025

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Directions to “ DANA S BALDERRAMA MD” Practice Location

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