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Individual

SAMI BAWALSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
6315 BOULDER TRAIL DR APT 306-1, ROANOKE, VA 24019-1918
(540) 855-1180

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
011602909
VA

Other

Enumeration date
04/17/2016
Last updated
10/07/2016
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