Individual provider · NPI-1

Manuel Balikian, MD

Internal Medicine · Clovis, CA

NPI number1043374465
StatusActive
Last updated in NPPESAug 22, 2007

Details

NPI
1043374465
Entity type
Individual (NPI-1)
Name
Manuel Balikian
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2006
Last updated
Aug 22, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA30168CAYes

Practice location

275 W Herndon Ave
Clovis, CA 93612-0204

Phone 559-324-6200

Mailing address

2579 E El Paso Ave
Fresno, CA 93720-0507

Phone 559-323-9922

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