Individual
DR. NALINI SRIDHAR BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, ATTN : MEDICAL STAFF OFFICE, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, ATTN : MEDICAL STAFF OFFICE, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
30546
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764648
—
AZ
Enumeration date
03/14/2006
Last updated
05/17/2016
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