Provider Demographics
NPI:1861899338
Name:HEARING AND BALANCE SOLUTIONS PLLC
Entity type:Organization
Organization Name:HEARING AND BALANCE SOLUTIONS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GOUTHAM
Authorized Official - Middle Name:KRISHNA
Authorized Official - Last Name:GOSU
Authorized Official - Suffix:
Authorized Official - Credentials:AUD,FAAA
Authorized Official - Phone:267-243-5321
Mailing Address - Street 1:3900 COLONY RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-5022
Mailing Address - Country:US
Mailing Address - Phone:704-944-4283
Mailing Address - Fax:980-819-7817
Practice Address - Street 1:3900 COLONY RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-5022
Practice Address - Country:US
Practice Address - Phone:704-944-4283
Practice Address - Fax:980-819-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0700X
NC11105332S00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty