Provider Demographics
NPI:1427202845
Name:ANAND BALASUBRAMANIAN, M.D., P.A.
Entity Type:Organization
Organization Name:ANAND BALASUBRAMANIAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BALASUBRAMANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MDPA
Authorized Official - Phone:832-239-7398
Mailing Address - Street 1:PO BOX 90967
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77290-0967
Mailing Address - Country:US
Mailing Address - Phone:281-893-8100
Mailing Address - Fax:713-991-0938
Practice Address - Street 1:837 CYPRESS CREEK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3424
Practice Address - Country:US
Practice Address - Phone:281-893-8100
Practice Address - Fax:281-271-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210613001Medicaid
TX210613001Medicaid