Healthcare Provider Details

I. General information

NPI: 1407854730
Provider Name (Legal Business Name): JOSEPH BALLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 SUNNYBROOK RD
RALEIGH NC
27610-1827
US

IV. Provider business mailing address

PO BOX 46872
RALEIGH NC
27620-6872
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-1260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number38893
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: