IndividualActive
Balaji Gopidasan, M.B.B.S.
NPI 1336300607 · Child & Adolescent Psychiatry Physician · Syracuse, NY
Provider details
- NPI number
- 1336300607
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- L2956 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3630
Approximate (ZIP-level) locationGet directions
Mailing address
770 Maple Rd
Williamsville, NY 14221-3249
Registry dates
- Enumerated
- 2008-06-19
- Last updated
- 2010-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.