M. BALASUBRAMANIAN M.D.
NPI 1760514517
Dermatology - Dermatopathology in Schaumburg, IL

Q: What is M. Balasubramanian's NPI number?

The NPI number for M. Balasubramanian is 1760514517. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Mani Bala MD.

Q: What is M. Balasubramanian's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since March 09, 2007

506 E STATE PKWY, SCHAUMBURG, IL 60173(847) 885-5220(847) 755-5170 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About M. Balasubramanian M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. BALASUBRAMANIAN M.D. (NPI 1760514517) is an individual dermatopathology provider in Schaumburg, Illinois, licensed in California (C139181) and active in the NPI registry since March 2007. He maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1760514517

Entity TypeIndividualMale

Primary Taxonomy207ND0900X

Provider Legal NameM. BALASUBRAMANIANCredential: M.D.

Location Address506 E STATE PKWYSchaumburg, IL 60173-4538

Mailing Address506 E State PkwySchaumburg, IL 60173-4538 · (847) 885-5220 · Fax (847) 755-5170

Phone(847) 885-5220

Fax(847) 755-5170

Sole ProprietorNo

Enumeration DateMarch 9, 2007

Last NPPES UpdateSeptember 27, 2023

NPPES CertifiedSeptember 27, 2023

✔ NPI 1760514517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in CA · C139181

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License LT17656 (ND)

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 36046825 (IL)

506 E STATE PKWY, Schaumburg, IL 60173

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Other Names 1

Other Name (5)Mani Bala Md

Secondary Practice Location 1

Location 12420 Samaritan DrSan Jose, CA 95124-3907 · Phone (408) 369-5600 · Fax (408) 369-5615

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCY H LIU M.D.

Pathology (Anatomic Pathology)