SHIVA BALASUBRAMANIAN

LOUISVILLE, KY
NPI1477341972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-26
Last Update Date2025-04-26
Business Address
SHIVA BALASUBRAMANIAN MD
550 S JACKSON ST FL 3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
Mailing Address
SHIVA BALASUBRAMANIAN MD
550 S JACKSON ST FL 3
LOUISVILLE, KY 40202-1622
Phone number: