Individual provider · Type 1 NPI

Balakrishna Srivatsa Brahmandam, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1174465975 Active

Practice location

550 S Jackson St Fl 3
Louisville, KY 40202-1622

Call (502) 852-5666 Map

Mailing address

12690 Oakmere Dr
Pickerington, OH 43147-9067

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174465975

Balakrishna Srivatsa Brahmandam, MD's National Provider Identifier is 1174465975, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on May 5, 2026.