Individual
DR. ADITHYA BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE BLDG 3, ROCHESTER, NY 14621-3095
(585) 922-4000
Mailing address
1632 STONE ST, SAGINAW, MI 48602
(989) 583-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4351049961
MI
208D00000X
General Practice Physician
4351049961
MI
Other
Enumeration date
07/07/2020
Last updated
07/03/2023
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