Individual
CHRISTOS BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 339-1070
(215) 339-1080
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD069389L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018532450001
—
PA
Enumeration date
06/27/2006
Last updated
01/30/2018
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