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Individual

DR. ANDREI BALANDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5810 W BEVERLY LN, GLENDALE, AZ 85306-1800
(623) 312-3000
(623) 312-3060
Mailing address
PO BOX 60691, CITY OF INDUSTRY, CA 91716-0691
(480) 821-2838

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
49189
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
908566
AHCCCS
AZ
Enumeration date
05/14/2008
Last updated
08/12/2025
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