Agnes Balla, MD
Pathology, Anatomic Pathology in Burlington, Vermont
1194143875- Practice location
- 111 Colchester Ave, Mailstop 233MP1, Burlington, VT 05401-1473
- Phone
- 802-847-2700
- Fax
- —
- Last updated
- October 10, 2018
Agnes Balla is a Pathology, Anatomic Pathology based in Burlington, VT. Agnes Balla practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Agnes Balla is 1194143875 and holds a License No. 042.0013986 (VT). The current practice location address for Agnes Balla is 111 Colchester Ave, Mailstop 233MP1, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-2700.
Provider Profile Details
- NPI Number
- 1194143875
- Provider Name
- Agnes Balla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Colchester Ave, Mailstop 233MP1, Burlington, VT 05401-1473
- Phone Number
- 802-847-2700
- Primary Taxonomy
- Pathology, Anatomic Pathology · 207ZP0101X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 31, 2014
- Last Update Date
- October 10, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Colchester Ave
Mailstop 233MP1
Burlington, VT 05401-1473 - City
- Burlington
- State
- Vermont
- Zip
- 05401-1473
- Phone Number
- 802-847-2700
Provider Business Mailing Address Details
- Address
- 111 Colchester Ave
Mailstop 233MP1
Burlington, VT 05401-1473 - City
- Burlington
- State
- VT
- Zip
- 05401-1473
- Phone Number
- 802-847-0392
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 042.0013986
- License State (2)
- VT
- Taxonomy (2)
- Pathology, Anatomic Pathology · 207ZP0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agnes Balla, MD?
The NPI number of Agnes Balla, MD is 1194143875. It was assigned on March 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Agnes Balla, MD?
Agnes Balla, MD is registered under the primary taxonomy Pathology, Anatomic Pathology (code 207ZP0101X), licensed in VT under license number 042.0013986.
Where does Agnes Balla, MD practice?
The practice location is 111 Colchester Ave, Mailstop 233MP1, Burlington, VT 05401-1473. The office can be reached at 802-847-2700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194143875 directly on the NPPES registry website.