Doctor Name: | SOMASEKHARA R BALLA |
NPI Number: | 1114098647 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 200000716 |
Business Practice Address: | 270 Smith Church Road Roanoke Rapids, NC - 278704914 |
Business Phone Number: | 2525370134 |
Business Fax Number: | 2525376515 |
Mailing Address: | 270 Smith Church Road, ROANOKE RAPIDS |
State: | NC |
Postal Code: | 278704914 |
Phone Number: | 2525370134 |
Fax Number: | 2525376515 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 12/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 200000716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |