Individual
FURQAN PERVEZ BALOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
145 HOSPITAL AVE STE 315, DU BOIS, PA 15801-1465
(814) 503-4305
(814) 503-4307
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS025237
PA
207Q00000X
Family Medicine Physician
OT023480
PA
208D00000X
General Practice Physician
0102209607
VA
208D00000X
General Practice Physician
H0104522
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT023480
PA
Other
Enumeration date
03/20/2023
Last updated
09/11/2025
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