Individual
DR. BALKISSOON MAHARAJH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 FRANKLIN ST, LEVEL A, JOHNSTOWN, PA 15905
(814) 536-9715
(814) 539-6138
Mailing address
1015 FRANKLIN ST, LEVEL A, JOHNSTOWN, PA 15905
(814) 536-9715
(814) 539-6138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD051194L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014267380003
—
PA
Enumeration date
12/16/2005
Last updated
08/31/2020
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