BALAJI PABBU


Address: 101 Heart Drive, Mail Stop 654, Greenville, NC 27834
Phone: 2527442045

BALAJI PABBU (NPI# 1982766283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982766283
Entity Type Individual
Full Name BALAJI PABBU
Credential MD
Practice Address 101 Heart Drive, Mail Stop 654
Greenville
NC 27834
Mailing Address Po Box 751069
Ecu Physicians
Charlotte
NC 28275-1069
Practice Telephone 2527442045
Enumeration Date 2006-12-14
Last Update Date 2012-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
2010-00634 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC 158MK 01
NC MEDCOST 230432 01
NC 5915105 05

Office Location

Street Address 101 HEART DRIVE, MAIL STOP 654
City GREENVILLE
State NC
Zip Code 27834

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1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699041160 Sarah E Whitehead Family Medicine Paris View Family Medicine, 1028 North Church Street, Greenville, SC 29601-1639 2012-03-28
1922080787 Reliant Geriatrics, Inc. Family Medicine 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732 2005-11-17
1245715747 Amanda Goodwin Family Medicine 4400 Walnut St, Greenville, TX 75401-5586 2018-10-01
1043448509 Betty Jane Lackey Family Medicine 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 2009-06-23
1275715690 Laurie Marie Theriot Roley Family Medicine 255 Enterprise Blvd, Suite 101, Greenville, SC 29615-6300 2007-11-27
1376555391 Peter F Gray Family Medicine 4101 Wesley St, Suite D, Greenville, TX 75401-5635 2006-08-12
1679578082 Peter F Gray Md Pa Family Medicine 4101 Wesley St, Ste D, Greenville, TX 75401-5635 2005-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649765058 Frances Elizabeth Sutton Family Medicine 180 Southwood Dr, Clinton, NC 28328-5002 2018-06-27
1023313855 Triangle Geriatrics & Palliative Medicine, Pllc Family Medicine 1010 Rosehill Ave, Durham, NC 27705-4019 2011-01-26
1316259013 Graceful Aging,pc Family Medicine 2732 Bardolino Dr, Fayetteville, NC 28306-4636 2010-07-09
1306092549 Coastal Mobile Medical Doctor, Pa Family Medicine 203 Stagecoach Dr, Jacksonville, NC 28546-9617 2008-08-07
1457541484 North River Primecare PC Family Medicine 301 Jones Ave, Beaufort, NC 28516-1514 2007-07-26
1790812840 Geridoc LLC Family Medicine 4431 Montibello Dr, Charlotte, NC 28226-7420 2007-02-27
1174658371 Brunswick Gericare PC Family Medicine 602 Thomasboro Road, Calabash, NC 28467-9820 2007-02-21
1952446080 Jeffrey Dean Martin Family Medicine North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 2007-02-20
1912048273 Shine Thomas Family Medicine 1601 Brennar Ave, Salisbury, NC 28144-2515 2007-02-09
1417065236 Narender D Arcot Family Medicine 31 Office Park Dr, Jacksonville, NC 28546-3219 2006-08-29
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Competitor

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City GREENVILLE
Zip Code 27834

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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