Individual
ANAS BALAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-7555
(419) 479-2696
Mailing address
1920 GLEN SPRINGS DR, FREMONT, OH 43420-3229
(419) 333-3751
(419) 333-6437
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-092883
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301103137
MI
207RP1001X
Pulmonary Disease Physician
Primary
35-092883
OH
207RP1001X
Pulmonary Disease Physician
4301103137
MI
Other
Enumeration date
11/19/2007
Last updated
09/16/2019
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