MEDICARE: BALAJI GROUP, INC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073287033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALAJI GROUP, INC

Provider Business Mailing Address
First Line	:	W217N5445 TAYLORS WOODS DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-6263
Country	:	US
Telephone Number	:	414-588-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	W217N5445 TAYLORS WOODS DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-6263
Country	:	US
Telephone Number	:	414-588-2100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SUKHPAL KAILEY
Credential	:	PRESIDENT
Telephone Number	:	414-588-2100

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	08/03/2021

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Directions to “BALAJI GROUP, INC ” Practice Location

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