Individual
SOMASEKHARA R BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 537-9268
Mailing address
101 EAGLE CT, ROANOKE RAPIDS, NC 27870-3262
(919) 724-5533
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200000716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020384900
DIVISION OF COAL MINERS
—
01
—
028182
VABCBS
VA
01
—
06006150
RAILROAD MEDICARE PALMETT
—
01
—
127WX
BCBSNC
NC
01
—
18619
CAPITOL BC PENN
—
01
—
2556735
UNITED HEALTHCARE
—
01
—
5861179
VIRGINIA MEDICAID
—
05
—
89127WX
—
NC
01
—
A3306
MEDCOST
—
Enumeration date
11/13/2006
Last updated
01/14/2022
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