Individual
MR. GANAPATHY BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 S PUEBLO BLVD, PUEBLO, CO 81005-2191
(719) 561-9757
(719) 561-9764
Mailing address
1315 S PUEBLO BLVD, PUEBLO, CO 81005-2191
(719) 561-9757
(719) 561-9764
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36577
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365774
—
CO
Enumeration date
06/21/2005
Last updated
12/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us