Provider Demographics
NPI:1326047283
Name:BALACHANDRAN, NALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:NALINI
Middle Name:
Last Name:BALACHANDRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 ELDRIDGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4083
Mailing Address - Country:US
Mailing Address - Phone:281-277-9800
Mailing Address - Fax:281-277-9822
Practice Address - Street 1:138 ELDRIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4083
Practice Address - Country:US
Practice Address - Phone:281-277-9800
Practice Address - Fax:281-277-9822
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1351207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203075871OtherTIN
TX8F2635Medicare PIN
TX203075871OtherTIN