Bala Kanagaraju, M.D.S.C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BALA KANAGARAJU, M.D.S.C

Practice address

7914 S Ashland Ave
Chicago, IL 60620-4335

Phone

(773) 651-6800

NPI assigned

Apr 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bala R Kanagaraju, M.DNPI 1851315469

Title

Owner

Phone

(708) 799-0234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bala Kanagaraju, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1851315469
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1295050821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 VOLLMER RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221960",
            "telephone_number": "708-799-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204335",
            "telephone_number": "773-651-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALA KANAGARAJU, M.D.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "KANAGARAJU",
        "authorized_official_first_name": "BALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-799-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Cecylia Bakowska
• Jason Baksas
• Karim Baksh, D.D.S.
• Mizba Baksh, MD
• Kunal Bakshi, M.D.
• Rajesh M Bala, D.O.
• Lee Balabanoff
• Alexandra Balabanov, DO
• Antoaneta Y Balabanov, MD
• Roumen D Balabanov, M.D.

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.