Individual
DR. KOMAL D BALANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3890 JOHNS CREEK PKWY STE 230, SUWANEE, GA 30024-1286
(770) 623-1331
(770) 623-5674
Mailing address
4375 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 30024-6085
(770) 623-1331
(770) 623-5674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060435
GA
207Q00000X
Family Medicine Physician
ME95582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
05
—
PENDING
—
GA
Enumeration date
08/15/2006
Last updated
10/12/2020
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