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NPI Code Detail

MEDICARE: DR. KEKI R BALSARA MD

MEDICARE:  DR. KEKI R BALSARA  MD
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
1208600000XSurgery Physician2014025045MO
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician2014025045MO
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician57231TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942467642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEKI R BALSARA MD
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1215 21ST AVE S STE 5025
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0014
Country : US
Telephone Number : 615-343-6165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 03/22/2022

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Directions to “ DR. KEKI R BALSARA MD” Practice Location

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