Individual
JEFFERSON IRVIN BALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101245354
VA
390200000X
Student in an Organized Health Care Education/Training Program
4301086429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124143656
—
VA
Enumeration date
03/21/2007
Last updated
10/23/2025
Update your record
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