Active NPI
Bala S Nadesan, PHARM.D., PH.D.
- Nuclear Pharmacist
- Temple, TX
National Provider Identifier
1831265610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- 40634
- Practice address
- 203 W Avenue U
Temple, TX 76504-7426 - Phone
- (254) 791-8151
- Fax
- (254) 770-3183
- NPI assigned
- Nov 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | 40634 | TX | Primary |
Addresses
Primary practice location
203 W Avenue U
Temple, TX 76504-7426
Mailing address
3009 Ira Young Dr Apt 712
Temple, TX 76504-6338
Phone (254) 899-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40634 | TX | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831265610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 IRA YOUNG DR APT 712",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046338",
"telephone_number": "254-899-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W AVENUE U",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047426",
"telephone_number": "254-791-8151",
"fax_number": "254-770-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADESAN",
"first_name": "BALA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARM.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "TX",
"license": "40634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.