Individual
MOHAMAD BALTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3112 SHERIDAN DR, AMHERST, NY 14226-1904
(716) 831-9435
Mailing address
PO BOX 2461, BUFFALO, NY 14240-2461
(716) 834-1191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
139264
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
139264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011260201
UNIVERA
—
01
—
00020545801
UNIVERA
NY
01
—
000565033001
BLUE CROSS
NY
05
—
00581315
—
NY
01
—
051820982
RAILROAD MEDICARE
—
01
—
2005260
INDEPENDENT HEALTH
NY
Enumeration date
03/24/2006
Last updated
03/11/2009
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