Individual
BALJIT S BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26900 CEDAR RD STE 26N, BEACHWOOD, OH 44122-8114
(216) 839-3350
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2182
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-072615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222894
MEDICARE RR
OH
05
—
2072260
—
OH
Enumeration date
04/10/2006
Last updated
02/12/2018
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