Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101058922 | VA |
NPI | 1013949254 |
---|---|
Provider Name | Nader H Balba |
First Address | Fairfax, VA 22033 |
Second Address | Fairfax, VA 22031-4622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 07/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
339052 | ANTHEM BCBS (01) | |
339055 | ANTHEM BCBS (01) | |
339057 | ANTHEM BCBS (01) | |
339058 | ANTHEM BCBS (01) | |
342328 | ANTHEM BCBS (01) | |
346671 | ANTHEM BCBS (01) | |
5885515 | (05) | VA |
79160017 | CAREFIRST BCBS (01) | |
H89380 | (02) |