Provider Demographics
NPI:1073287033
Name:BALAJI GROUP, INC
Entity Type:Organization
Organization Name:BALAJI GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUKHPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:414-588-2100
Mailing Address - Street 1:W217N5445 TAYLORS WOODS DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-6263
Mailing Address - Country:US
Mailing Address - Phone:414-588-2100
Mailing Address - Fax:
Practice Address - Street 1:W217N5445 TAYLORS WOODS DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-6263
Practice Address - Country:US
Practice Address - Phone:414-588-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)