Individual
CHANEL BALAJADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11429 S 105TH EAST AVE, BIXBY, OK 74008-2819
(539) 573-2002
Mailing address
11429 S 105TH EAST AVE, BIXBY, OK 74008-2819
(539) 573-2002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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