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Balaji Srinivasan, MD

Internal Medicine, Nephrology in La Crosse, WI. Individual provider (NPI-1).

NPI number1467456244
StatusActive
Last updated in NPPESFeb 2, 2016

Details

NPI
1467456244
Entity type
Individual (NPI-1)
Name
Balaji Srinivasan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2005
Last updated
Feb 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology43728WIYes
207RN0300X Internal Medicine, Nephrology35599IA

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Phone 608-782-7300

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Phone 608-782-7300

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