Healthcare Provider Details

I. General information

NPI: 1942392683
Provider Name (Legal Business Name): NARINDER SINGH BALA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 TULARE ST SUITE 103
FRESNO CA
93721-1443
US

IV. Provider business mailing address

3120 TULARE ST SUITE 103
FRESNO CA
93721-1443
US

V. Phone/Fax

Practice location:
  • Phone: 559-444-1880
  • Fax: 559-444-1878
Mailing address:
  • Phone: 559-444-1880
  • Fax: 559-444-1878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA37020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: