Individual
ANITA BHALLA
Active
Individual
ANITA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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