MEDICARE: CYNTHIA K BALINA MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35085083	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447365622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA K BALINA MD

Provider Business Mailing Address
First Line	:	2373 EUCLID HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2716
Country	:	US
Telephone Number	:	216-179-3580
Fax Number	:

Provider Business Practice Location Address
First Line	:	2373 EUCLID HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2716
Country	:	US
Telephone Number	:	216-791-2580
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	10/02/2013

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