Individual
ATUL N BALWALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Mailing address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35070075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209357
ANTHEM
—
01
—
0254148
OHIO DEPT OF HEALTH & HUM
—
01
—
040016607
MEDICARE RAILROAD
—
01
—
1000362
MEDICARE COMPLETE
—
01
—
2597293
AETNA
—
Enumeration date
01/13/2006
Last updated
01/15/2013
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