Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35078416B | OH |
NPI | 1013983790 |
---|---|
Provider Name | Anita Bhalla |
First Address | Rocky River, OH 44116 |
Second Address | Lakewood, OH 44107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 23/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000342372 | ANTHEM (01) | |
000000593931 | ANTHEM (01) | OH |
0119204 | MEDICAID GROUP NUMBER (01) | OH |
2488099 | (05) | OH |
7007606 | AETNA (01) | |
9200381 | UNITED HEALTHCARE (01) | |
9273172 | GROUP MEDICARE PTAN (01) | OH |
C78416 | SUMMACARE APEX (01) | |
I02040 | (02) |