SIVANTHAN BALACHANDRAN

COASTAL KIDNEY CENTER PA

Dr SIVANTHAN BALACHANDRAN is a male medical professional, specializing in Nephrology. He graduated in 1999.

Contact

COASTAL KIDNEY CENTER PA

834 FARRAR DR
CONWAY
SC
295268747

Tel: 8433479487

SIVANTHAN BALACHANDRAN Information

Npi 1699840322
Pac Id 6709958754
Professional Enrollment Id I20101028000567
Last Name BALACHANDRAN
First Name SIVANTHAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1999
Primary Specialty NEPHROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COASTAL KIDNEY CENTER PA
Group Practice Pac Id 3173553484
Number Of Group Practice Members 6
Line 1 Street Address 834 FARRAR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CONWAY
State SC
Zip Code 295268747
Phone Number 8433479487
Hospital Affiliation Ccn 1 420085
Hospital Affiliation Lbn 1 GRAND STRAND REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 420049
Hospital Affiliation Lbn 2 CONWAY MEDICAL CENTER
Hospital Affiliation Ccn 3 420105
Hospital Affiliation Lbn 3 MCLEOD LORIS HOSPITAL
Hospital Affiliation Ccn 4 340158
Hospital Affiliation Lbn 4 NOVANT HEALTH BRUNSWICK MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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