Individual
VASANTH B BALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9590
(252) 451-3100
(252) 937-3106
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128UA
BCBSNC
NC
01
—
370018384
RAILROAD MEDICARE
NC
01
—
5957691
CIGNA HEALTHCARE
NC
05
—
89128UA
—
NC
01
—
A5444
MEDCOST
NC
Enumeration date
09/06/2005
Last updated
02/20/2019
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