Individual
KAREN K. BALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(571) 423-5699
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70975
MA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
0101261336
VA
207RH0003X
Hematology & Oncology Physician
70975
MA
207RI0008X
Hepatology Physician
0101261336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070975
TUFTS HEALTH PLAN
MA
05
—
3092046
—
MA
01
—
J12406
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
08/08/2023
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