Individual
DR. FADI BALADI
Active
Individual
DR. FADI BALADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80541
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23815
FALLON COMMUNITY HEALTH
MA
05
—
3141403
—
MA
01
—
8954334
CIGNA
MA
05
—
9743570
—
MA
01
—
J16114
BLUE CROSS BLUE SHIELD
MA
01
—
TUFTS HEALTH PLAN
080541
MA
Enumeration date
11/08/2005
Last updated
03/24/2010
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