Ashfaq S Balla, MD
Internal Medicine, Nephrology in Worcester, Massachusetts
1740228220- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-856-3155
- Fax
- 508-856-3111
- Last updated
- November 17, 2020
Ashfaq S. Balla is an Internal Medicine, Nephrology based in Worcester, MA. Ashfaq S. Balla practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Ashfaq S. Balla is 1740228220 and holds a License No. 242372 (MA). The current practice location address for Ashfaq S. Balla is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-3155 and via fax at 508-856-3111.
Provider Profile Details
- NPI Number
- 1740228220
- Provider Name
- Ashfaq S. Balla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-856-3155
- Fax Number
- 508-856-3111
- Primary Taxonomy
- Internal Medicine, Nephrology · 207RN0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2006
- Last Update Date
- November 17, 2020
- Certification Date
- November 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-856-3155
- Fax Number
- 508-856-3111
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number
- 242372
- License State
- MA
- Taxonomy
- Internal Medicine, Nephrology · 207RN0300X · 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 Ashfaq S Balla, MD?
The NPI number of Ashfaq S Balla, MD is 1740228220. It was assigned on June 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Ashfaq S Balla, MD?
Ashfaq S Balla, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in MA under license number 242372.
Where does Ashfaq S Balla, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-856-3155 (phone) or 508-856-3111 (fax).
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 1740228220 directly on the NPPES registry website.