Individual
PRAVEEN BALLABH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD, WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595-1530
(914) 493-8558
(914) 493-1488
Mailing address
100 WOODS RD, WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595-1530
(914) 493-8558
(914) 493-1488
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
240324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128453
—
CT
05
—
02217283
—
NY
01
—
A400041188
MEDICARE PTAN
NY
Enumeration date
08/10/2005
Last updated
01/22/2015
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