Doctor Name: | MATTHEW T. BALLO |
NPI Number: | 1013017094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | L0014 |
Business Practice Address: | 100 N Humphreys Blvd Memphis, TN - 381202146 |
Business Phone Number: | 9016830055 |
Business Fax Number: | 9016852969 |
Mailing Address: | 100 N Humphreys Blvd, MEMPHIS |
State: | TN |
Postal Code: | 381202146 |
Phone Number: | 9016830055 |
Fax Number: | 9016852969 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | L0014 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |