Individual
DR. IMRAN LASHARI BALOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 UNION ST, ECHN HEALTH SEVICES, VERNON ROCKVILLE, CT 06066-3025
(860) 896-0377
Mailing address
145 UNION ST, VERNON ROCKVILLE, CT 06066-3025
(860) 896-0377
(860) 896-0388
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036132993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996078
CIGNA
CT
01
—
9808521
AETNA
CT
Enumeration date
01/18/2010
Last updated
01/10/2025
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