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NPI Code Detail

MEDICARE: DR. NATASHA K BALANI OD

MEDICARE:  DR. NATASHA K BALANI  OD
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
1152W00000XOptometrist60570700WA

Other Identifiers

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

General Provider Information

NPI Number : 1821472499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATASHA K BALANI OD
Provider Business Mailing Address
First Line : 3025 112TH AVE NE STE 200
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-8002
Country : US
Telephone Number : 425-451-2020
Fax Number : 425-450-9696
Provider Business Practice Location Address
First Line : 3025 112TH AVE NE STE 200
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-8002
Country : US
Telephone Number : 425-451-2020
Fax Number : 425-450-9696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2015
Last Update Date : 01/30/2023

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Directions to “ DR. NATASHA K BALANI OD” Practice Location

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