Search › Florida › 207RI0011X
Balaji Shanmugam, MD
NPI 1851786164 · on the registry since 2015
Practice
- Address
- 209 Belle Fontaine Cir
Suite #403
Lake Mary, FL 32746 - Phone
- (917) 683-3516
Additional practice sites
- 4600 Memorial Dr Ste W1, Belleville, IL
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RI0011X
- Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida