Doctor Name: | DR. MEENA E BALA |
NPI Number: | 1255429239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101036474 |
Business Practice Address: | 9501 Lucy Corr Cir Chesterfield, VA - 238326697 |
Business Phone Number: | 8047967089 |
Business Fax Number: | |
Mailing Address: | 9641 Egret Ln, CHESTERFIELD |
State: | VA |
Postal Code: | 238388949 |
Phone Number: | 8047489038 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101036474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |