# MEDBALANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326596974
- **Authorized official:** SANDRA DELISTATHIS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (240) 507-5110

## Contact information

- **Practice address:** 4701 SANGAMORE RD, SUITE N270, BETHESDA, MD 20816-2508
- **Practice address phone:** (240) 507-5110
- **Practice address fax:** (844) 682-8102
- **Mailing address:** 4701 SANGAMORE RD, SUITE N270, BETHESDA, MD 20816-2508
- **Mailing address phone:** (240) 507-5110
- **Mailing address fax:** (844) 682-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D59980 | MD | Yes |

## Other

- **Enumeration date:** 09/12/2016
- **Last updated:** 09/12/2016