Individual
DR. OFELIA BALAGTAS-BALMASEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4812 S 7TH ST, TERRE HAUTE, IN 47802-4502
(812) 299-7422
(812) 299-1683
Mailing address
830 E GILCHRIST DR, TERRE HAUTE, IN 47802-4740
(812) 299-7422
(812) 299-1683
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
10037984
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10780112
CAQH
IN
05
—
200006770A
—
IN
01
—
22000000105419
BLUE CROSS BLUE SHIELD
IN
Enumeration date
01/12/2007
Last updated
01/19/2017
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