Individual
SHRUTI BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 W IRVINGTON RD, TUCSON, AZ 85714-3054
(520) 884-7304
Mailing address
1 MEDICAL CENTER DR, DHMC... DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
58221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529135
—
AZ
Enumeration date
04/12/2015
Last updated
09/12/2021
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