Individual
ANITA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15000 MADISON AVE, LAKEWOOD, OH 44107
(216) 472-1404
(216) 529-7806
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5042
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35078416B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342372
ANTHEM
—
01
—
000000593931
ANTHEM
OH
01
—
0119204
MEDICAID GROUP NUMBER
OH
05
—
2488099
—
OH
01
—
7007606
AETNA
—
01
—
9200381
UNITED HEALTHCARE
—
01
—
9273172
GROUP MEDICARE PTAN
OH
01
—
C78416
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
04/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us