Individual
DEREK BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 MEDICAL PKWY STE 309, ANNAPOLIS, MD 21401-3745
(410) 224-1133
(410) 266-1639
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H91155
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/19/2012
Last updated
12/31/2024
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