Individual
CHRISTIAN BALLAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2158 INTELLIPLEX DR, SUITE 200, SHELBYVILLE, IN 46176-8846
(317) 392-3651
(317) 398-0538
Mailing address
1626 E STATE ROAD 44, STE A, SHELBYVILLE, IN 46176-4057
(317) 421-2012
(317) 398-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038703A
IN
208000000X
Pediatrics Physician
01038703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317710
—
IN
Enumeration date
06/01/2006
Last updated
11/23/2016
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