Individual
WASIF AHMAD BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105271
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2020
Last updated
12/11/2025
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