Individual
BALREET KAHLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
780 8TH AVE STE 303, NEW YORK, NY 10036-7000
(212) 641-4500
Mailing address
815 MAIN ST STE A, PEORIA, IL 61602-1080
(309) 672-4977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.071178
LICENSE
—
Enumeration date
06/20/2017
Last updated
11/03/2022
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