Individual
HASAN AHMAD BALOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 237-9081
(919) 890-0330
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
(984) 215-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
200701656
NC
2084P0800X
Psychiatry Physician
Primary
200701656
NC
2084P0804X
Child & Adolescent Psychiatry Physician
D0064326
MD
Other
Enumeration date
10/18/2006
Last updated
05/06/2021
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