| Jithin Raj Balan, | |
|
7667 Folsom Blvd Ste 1000, Sacramento, CA 95826-2646 | |
| (916) 278-4697 | |
| Not Available |
| Full Name | Jithin Raj Balan |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 7667 Folsom Blvd Ste 1000, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164313987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 81685 (Texas) | Primary |
| Provider Name | Utmb Faculty Group Practice |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Jithin Raj Balan, 2555 95th St Apt 1401, Port Arthur, TX 77640-1681 Ph: (956) 855-2838 | Jithin Raj Balan, 7667 Folsom Blvd Ste 1000, Sacramento, CA 95826-2646 Ph: (916) 278-4697 |
Tyler Christian Oakes, AUD. Audiologist Medicare: Medicare Enrolled Practice Location: 7300 Wyndham Dr, Sacramento, CA 95823 Phone: 916-525-6280 Fax: 916-525-6285 |
Mrs. Tara Rene Roberts, MS, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Head And Neck Surgery Department - 3e, Sacramento, CA 95825 Phone: 916-973-7913 Fax: 916-973-7971 |
Alasia Fate, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815 Phone: 916-736-3399 Fax: 916-233-4179 |
Mrs. Ann Marie Mullen, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd., Sacramento, CA 95652 Phone: 916-561-7400 |
Cynthia Powell Fetherston, M.S Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7991 Fax: 916-973-7971 |
Dr. Phoebe Parnelle Sewell, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 7300 Wyndham Dr, Sacramento, CA 95823 Phone: 916-525-6350 Fax: 916-525-6368 |
Jannette Lee Ann Palermo, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3180 Arden Way, Sacramento, CA 95825 Phone: 916-977-3277 Fax: 916-977-3275 |