NPI 1164427050

Bopanna B Ballachanda, PHD

Practitioner Audiologist Albuquerque, NM

Practice location

Address: 6709 Academy Rd NE STE B, Albuquerque, NM 87109-3363
Phone: (505) 207-7550
Fax: (505) 207-7559
Mailing address: 11907 San Rafael Ave NE, Albuquerque, NM 87122-1035

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 2084 (NM)

Other Audiologist providers in New Mexico →

Registry record

NPI: 1164427050
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 9 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.