Individual
DR. MEHDI BALAKHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S., PA
Contact information
Practice address
4745 OGLETOWN STANTON RD, MAP #1, SUITE 226, NEWARK, DE 19713-2067
(302) 368-8900
(302) 368-7866
Mailing address
4745 OGLETOWN STANTON RD, MAP #1, SUITE 226, NEWARK, DE 19713-2067
(302) 368-8900
(302) 368-7866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0002053
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000156101
—
DE
01
—
000414550
AMERIHEALTH PPO
DE
01
—
0098679000
AMERIHEALTH HMO
DE
01
—
1259
MID-ATLANTIC
DE
01
—
1300019
UNITED HEALTH CARE
DE
01
—
26018
COVENTRY
DE
01
—
414550
PENNA. BLUE SHIELD
DE
01
—
510264647
BLUE SHIELD OF NEW JERSEY
DE
01
—
52980
AETNA
DE
01
—
5626138004
CIGNA
DE
Enumeration date
06/14/2005
Last updated
03/01/2010
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