Balu Swamy Viswanathan in Lubbock - Pediatric Critical Care Medicine
Balu Swamy Viswanathan - NPI 1093866790
Balu Swamy Viswanathan is a Pediatric Critical Care Medicine in Lubbock, Texas. Balu Swamy Viswanathan practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Balu Swamy Viswanathan is 1093866790. The last update date is 2007-07-08.
Balu Swamy Viswanathan's current location address is P.o Box 54182, Lubbock, Texas. You can contact this provider via phone number 8067929863 and fax number 8179007666. The mailing address for Balu Swamy Viswanathan is P.o Box 54182, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Balu Swamy Viswanathan |
|---|---|
| Address | P.o Box 54182, Lubbock, Texas |
| Phone Number | 8067929863 |
| Fax Number | 8179007666 |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1093866790 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P.o Box 54182 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 79453 |
| Phone Number | 8067929863 |
| Fax Number | 8179007666 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | J2830 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00J07N | TX | BLUE CROSS |
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What is the Balu Swamy Viswanathan's unique identification number?
The Balu Swamy Viswanathan has been assigned the NPI (National Provider Identifier) Number 1093866790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Balu Swamy Viswanathan located?
The Balu Swamy Viswanathan is located at P.O Box 54182, Lubbock, TX 79453.
What is the Balu Swamy Viswanathan's specialty and taxonomy code?
The Balu Swamy Viswanathan's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
When was the Balu Swamy Viswanathan's 1093866790 issued?
The Balu Swamy Viswanathan's 1093866790 was issued on 2007-01-16.
When was the Balu Swamy Viswanathan's information last updated?
The Balu Swamy Viswanathan's information was last updated on 2007-07-08.