MEDICARE: ADITYA BALAJI ENTERPRISE 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	27872	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
2	2134709	OTHER		PK

General Provider Information

NPI Number	:	1447516109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADITYA BALAJI ENTERPRISE INC

Provider Business Mailing Address
First Line	:	2201 LONG PRAIRIE RD
Second Line	:	SUITE# 101
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4832
Country	:	US
Telephone Number	:	972-539-1777
Fax Number	:	972-539-7677

Provider Business Practice Location Address
First Line	:	2201 LONG PRAIRIE RD
Second Line	:	STE 101
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4832
Country	:	US
Telephone Number	:	972-539-1777
Fax Number	:	972-539-7677

Authorized Official
Title or Position	:	OFFICER
Name	:	HEMAKSHI DESAI
Credential	:
Telephone Number	:	972-539-1777

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	09/19/2025

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Directions to “ADITYA BALAJI ENTERPRISE INC ” Practice Location

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