| NPI | 1073594693 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-11-10 |
| Last Updated | 2024-01-09 |
| Mailing Address | 240 Beiser Blvd, Suite 201 Dover, DE 19904-8208 United States Phone: (302) 734-7246 | Fax: (302) 678-8890 📍 View Map |
| Primary Practice Address | 240 Beiser Blvd, Suite 201 Dover, DE 19904-8208 United States Phone: (302) 734-7246 | Fax: (302) 678-8890 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | DE | 0000898401 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 204R00000X – Electrodiagnostic Medicine | DE | C1-0005467 |
| No | 2081P2900X – Physical Medicine & Rehabilitation, Pain Medicine | DE | C1-0005467 |
| Yes | 208VP0014X – Pain Medicine, Interventional Pain Medicine | DE | C1-0005467 |
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About NPI 1073594693
Ganesh R Balu M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073594693. The primary specialty listed is Pain Medicine, Interventional Pain Medicine. The provider is located in Dover, DE. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073594693?
NPI 1073594693 belongs to Ganesh R Balu M.D., a Pain Medicine, Interventional Pain Medicine in Dover, DE. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073594693 active?
The current status of NPI 1073594693 in the NPPES registry is Active. The record was last updated on 2024-01-09.
What specialty is NPI 1073594693?
NPI 1073594693 is classified under the taxonomy Pain Medicine, Interventional Pain Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073594693?
You can verify NPI 1073594693 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073594693?
The primary practice address on file for NPI 1073594693 is 240 Beiser Blvd, Dover, DE 19904-8208. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073594693 issued?
NPI 1073594693 was first issued (enumerated) on 2005-11-10. The NPPES record was last updated on 2024-01-09.
Practice Location Map
Ganesh R Balu is located at 240 Beiser Blvd, Dover, DE. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ganesh R Balu. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073594693. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Electrodiagnostic Medicine | C1-0005467 | DE |
| Physical Medicine & Rehabilitation, Pain Medicine | C1-0005467 | DE |
| Pain Medicine, Interventional Pain Medicine | C1-0005467 | DE |