Individual
DR. KISHLEY BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 LEITER RD, MIAMISBURG, OH 45342-3600
(937) 384-6800
(937) 384-6938
Mailing address
2115 LEITER RD, MIAMISBURG, OH 45342-3600
(937) 384-6800
(937) 384-6938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.147966
OH
208M00000X
Hospitalist Physician
Primary
2024013607
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2020
Last updated
05/09/2024
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