Individual
NICHOLAS R BALAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 WOODBURN RD, SUITE #301, ANNANDALE, VA 22003-1229
(703) 204-9301
(703) 204-0764
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(703) 204-9301
(703) 204-0764
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD036018
MD
207RI0011X
Interventional Cardiology Physician
Primary
0101254584
VA
Other
Enumeration date
07/25/2006
Last updated
01/18/2024
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