NPI
Sujata Shankarappa Balulad
NPI 1952501454
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2007-07-23
- Last updated
- 2023-07-04
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Specialties
Licenses
- License NY
- 003280
- License MA
- 234022
- License FL
- ME131641
Location
- Practice location
- 33041 Professional Dr Ste 101
- City
- Leesburg FL
- Postal code
- 34788-3761
- Phone
- (321) 632-6963
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Leesburg, FL. 1,661 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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