Healthcare Provider Details

I. General information

NPI: 1689772576
Provider Name (Legal Business Name): REGIONAL MEDICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 BEISER BLVD SUITE 201A
DOVER DE
19904-8208
US

IV. Provider business mailing address

240 BEISER BLVD SUITE 201A
DOVER DE
19904-8208
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-7246
  • Fax:
Mailing address:
  • Phone: 302-734-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GANESH R BALU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-312-3809