MEDICARE: DR. ANAND BALASUBRAMANIAN M.D.

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
1	207R00000X	Internal Medicine Physician	L8271	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1811939606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAND BALASUBRAMANIAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 90967
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77290-0967
Country	:	US
Telephone Number	:	832-239-7398
Fax Number	:

Provider Business Practice Location Address
First Line	:	837 CYPRESS CREEK PKWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3424
Country	:	US
Telephone Number	:	281-893-8100
Fax Number	:	281-271-8457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	01/11/2023

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