Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.138925 | OH |
N | 2080P0207X | Pediatric Hematology-Oncologist | 35.138925 | OH |
NPI | 1093247678 |
---|---|
Provider Name | Dr. Natasha Sarosh Bala |
First Address | Columbus, OH 43205-2639 |
Second Address | Columbus, OH 43205-2639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2017 |
Last Update Date | 08/07/2020 |