MEDICARE: DR. HARIKA BALAGONI 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
1	207RG0100X	Gastroenterology Physician	74675	WI

General Provider Information

NPI Number	:	1952783557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARIKA BALAGONI M.D

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	715-838-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 WEST AVE S
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-4783
Country	:	US
Telephone Number	:	608-785-0940
Fax Number	:

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

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	06/01/2026

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