Individual
DR. ADITHYA BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4351049961
MI
208D00000X
General Practice Physician
Primary
4351049961
MI
Other
Enumeration date
07/07/2020
Last updated
05/21/2026
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