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1386022390
BALAJI NITHIANANDAM
EDGEWOOD, KY
NPI
1386022390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KY 51465)
Enumeration Date
2015-05-11
Last Update Date
2018-07-31
Business Address
BALAJI NITHIANANDAM MD
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Phone number: 859-572-3617
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Mailing Address
BALAJI NITHIANANDAM MD
PO BOX 18667
ERLANGER, KY 41018-0667
Phone number: 513-638-0593
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