MEDICARE: NEHA B BALIGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	0401420003	VA

General Provider Information

NPI Number	:	1437848108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA B BALIGA

Provider Business Mailing Address
First Line	:	1215 LEE ST.
Second Line	:	BOX 800740
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0816
Country	:	US
Telephone Number	:	434-924-1774
Fax Number	:	434-243-6378

Provider Business Practice Location Address
First Line	:	1215 LEE ST.
Second Line	:	BOX 800740
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0816
Country	:	US
Telephone Number	:	434-924-1774
Fax Number	:	434-243-6378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	06/05/2026

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