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NPI Code Detail

MEDICARE: RITHVIK BALAKRISHNAN

MEDICARE: RITHVIK BALAKRISHNAN
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician25MA11800800NJ
2207RC0200XCritical Care Medicine (Internal Medicine) Physician304592NY
3207P00000XEmergency Medicine Physician304592NY

General Provider Information

NPI Number : 1417342635
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITHVIK BALAKRISHNAN
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-245-3320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2015
Last Update Date : 04/07/2026

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Directions to “ RITHVIK BALAKRISHNAN ” Practice Location

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