Provider Demographics
NPI:1972740488
Name:BALARAMAN, SARAVANA K (MD)
Entity type:Individual
Prefix:DR
First Name:SARAVANA
Middle Name:K
Last Name:BALARAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAVANA
Other - Middle Name:K
Other - Last Name:BALARAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1721 COLFAX ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-1400
Mailing Address - Country:US
Mailing Address - Phone:402-352-3745
Mailing Address - Fax:402-352-8750
Practice Address - Street 1:1721 COLFAX ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-1400
Practice Address - Country:US
Practice Address - Phone:402-352-3745
Practice Address - Fax:402-352-8750
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NECP656207Q00000X
MN55212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine