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Individual

ELPIDIA H BALBASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 HOSPITAL DR STE 2, OPELOUSAS, LA 70570-6552
(337) 942-7898
(337) 942-7808
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 942-7898
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036085269
IL
207RH0003X
Hematology & Oncology Physician
40557
KY
207RH0003X
Hematology & Oncology Physician
J7417
TX
207RH0003X
Hematology & Oncology Physician
MD0000041542
TN
207RX0202X
Medical Oncology Physician
036085269
IL
207RX0202X
Medical Oncology Physician
Primary
309969
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000236043
UNISON HEALTH PLAN MEDICARE ADVANTAGE
TN
01
00000504506
ANTHEM BCBS KY
KY
01
020248399
DEPT OF LABOR
01
036085269
IL DEPT OF PUBLIC AID
IL
01
0910609
UMWA
KY
01
1234850
CHA
01
123712
HEALTH ALLIANCE-PHP
KY
01
271459
HEALTH LINK
05
3827817
TN
01
41960
TLC
TN
01
5080652
AETNA PROVIDER PIN#
05
7100021930
KY
01
G09596
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
01/24/2006
Last updated
02/21/2023
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