Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Unknown Pavitra Balasubramanian, MD

Individual provider Internal Medicine Physician · NPI 1457969164

Unknown Pavitra Balasubramanian, MD is an Internal Medicine in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Apogee Medical Group Virginia PC, a 36-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1650 Grand Concourse
Bronx, NY 10457-7606
Phone: (718) 590-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101277334 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457969164
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Apogee Medical Group Virginia Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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