Individual
BHAJANJIT S BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MDR5J29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122880
BLUE CHOICE
MO
05
—
202941415
—
MO
01
—
2086800901
KANSAS MEDICAID
MO
01
—
411739
HEALTHLINK
MO
01
—
901030
UNITED HEALTHCARE
MO
Enumeration date
04/26/2006
Last updated
06/01/2010
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