Organization Active NPI

S. Balachandran, MD, PA

  • Surgery Physician
  • Atlanta, TX
National Provider Identifier
1699095075
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G0656 Issued in TX
Legal business name
S. BALACHANDRAN, MD, PA
Practice address
1007 S William St
Atlanta, TX 75551-3245
Phone
(903) 799-3326
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Subramaniam Balachandran, MD
Title
President
Phone
(903) 799-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G0656 TX Primary

Addresses

Primary practice location

1007 S William St
Atlanta, TX 75551-3245

Mailing address

PO Box 797
Lancaster, TX 75146-0797
Phone (254) 694-5092

National Provider Directory

National Provider Directory

Locations

305 E Pinecrest Dr
Atlanta, TX 75551
Phone (903) 614-5430

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1699095075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751460797",
            "telephone_number": "254-694-5092",
            "fax_number": "254-694-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-799-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. BALACHANDRAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "BALACHANDRAN",
        "authorized_official_first_name": "SUBRAMANIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-799-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G0656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.