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NPI Code Detail

MEDICARE: DR. MAHESH KUMARR BALAKRISHNAN M.D.

MEDICARE: DR. MAHESH KUMARR BALAKRISHNAN 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
1207RC0001XClinical Cardiac Electrophysiology Physician70958AZ
2207RC0000XCardiovascular Disease Physician70958AZ
3207R00000XInternal Medicine PhysicianR75743AZ

General Provider Information

NPI Number : 1366890766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHESH KUMARR BALAKRISHNAN M.D.
Provider Business Mailing Address
First Line : 1361 W YAQUI DR APT 81
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 04/15/2026

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