Organization
MEHDI BALAKHANI, M.D., D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA A TOMPKINS (ACCOUNTS MANAGER)
(302) 368-8900
Entity
Organization
Contact information
Practice address
2319 PENNSYLVANIA AVE, WILMINGTON, DE 19806-1318
(302) 368-8900
Mailing address
4745 OGLETOWN STANTON RD, MAP # 1, SUITE 226, NEWARK, DE 19713-2067
(302) 368-8900
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
1989021553
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000163102
—
DE
Enumeration date
01/15/2010
Last updated
03/04/2010
Update your record
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