Dr Balaji Kolasani, DDS is a
Dentist based in Lawrence, Indiana. Dr Balaji Kolasani is licensed to practice in Indiana (license number 12014415A) and his current practice location is
8180 Pendleton Pike, Lawrence, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 426-1562.
NPI number for Dr Balaji Kolasani is 1619717618 and his current mailing address is 8180 Pendleton Pike, Lawrence, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619717618.
Healthcare Provider's Profile
Full Name | Dr Balaji Kolasani |
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Gender | Male |
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Speciality | Dentist |
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Location | 8180 Pendleton Pike, Lawrence, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619717618
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 05/28/2024
Medical Identifiers
Medical identifiers for Dr Balaji Kolasani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619717618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12014415A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Balaji Kolasani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Balaji Kolasani, DDS 8180 Pendleton Pike, Lawrence, IN 46226-4015 Ph: (317) 426-1562 | Dr Balaji Kolasani, DDS 8180 Pendleton Pike, Lawrence, IN 46226-4015 Ph: (317) 426-1562 |
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