Individual
MS. INDU BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1394 HATCHER LANE, SUITE A, COLUMBIA, TN 38401
(931) 388-9388
(931) 388-9808
Mailing address
1394 HATCHER LANE, SUITE #A, COLUMBIA, TN 38401
(931) 388-9388
(931) 388-9808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
31656
TN
207RN0300X
Nephrology Physician
Primary
31656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3376405
MEDICARE GROUP NUMBER
TN
05
—
4059771
—
TN
Enumeration date
09/08/2006
Last updated
02/14/2008
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