Dr. Khousidai S Balwan, MD
Internal Medicine in Great Neck, NY. Individual provider (NPI-1).
NPI number1437139680
StatusActive
Last updated in NPPESJun 28, 2012
Details
- NPI
- 1437139680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khousidai S Balwan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2006
- Last updated
- Jun 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 211415 | NY | Yes |
Practice location
865 Northern BlvdGreat Neck, NY 11021-5310
Phone 516-622-5000 · Fax 516-622-5005
Mailing address
972 Brush Hollow RdWestbury, NY 11590-1740
Phone 516-876-5555 · Fax 516-876-1246
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