Basic Information
| Provider Information | |||||||||
| NPI: | 1912107541 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BALMURI | ||||||||
| FirstName: | ABILASH | ||||||||
| MiddleName: | RAO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16172 SPENCER ST | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681166435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053481770 | ||||||||
| FaxNumber: | 2053487216 | ||||||||
| Practice Location | |||||||||
| Address1: | 1022 1ST ST N | ||||||||
| Address2: | STE 500 | ||||||||
| City: | ALABASTER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350078740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056635775 | ||||||||
| FaxNumber: | 2056642112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2007 | ||||||||
| LastUpdateDate: | 07/10/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 30349 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 208M00000X | 30217 | NE | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.