Individual
VINOD V BALASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, FC 13, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490
Mailing address
9300 VALLEY CHILDRENS PL, FC 13, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
42047
KY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A63509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200235440
—
IN
05
—
6496302800
—
KY
Enumeration date
07/05/2006
Last updated
12/13/2012
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