MEDICARE: MONICA BALI 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	207Q00000X	Family Medicine Physician	D0059994	MD

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	:	1811082258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA BALI MD

Provider Business Mailing Address
First Line	:	19745 FRAMINGHAM DRIVE
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879
Country	:	US
Telephone Number	:	301-869-0095
Fax Number	:

Provider Business Practice Location Address
First Line	:	13975 CONNECTICUT AVE
Second Line	:	308
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2921
Country	:	US
Telephone Number	:	301-460-8282
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/25/2008

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Directions to “ MONICA BALI MD” Practice Location

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