MEDICARE: DR. BALA RAMANAN M.B.B.S.

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	2086S0129X	Vascular Surgery Physician	DR.0072761	CO
2	2086S0129X	Vascular Surgery Physician	A127676	CA

General Provider Information

NPI Number	:	1811144025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BALA RAMANAN M.B.B.S.

Provider Business Mailing Address
First Line	:	660 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4506
Country	:	US
Telephone Number	:	402-707-7066
Fax Number	:

Provider Business Practice Location Address
First Line	:	5325 HARRY HINES BLVD # MC9157
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-2202
Country	:	US
Telephone Number	:	402-707-7066
Fax Number	:

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

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	03/13/2024

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