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NPI Code Detail

MEDICARE: ABISHEK BALA

MEDICARE:   ABISHEK  BALA
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
12084P0804XChild & Adolescent Psychiatry Physician4301507077MI
22084P0800XPsychiatry Physician4301112304MI

General Provider Information

NPI Number : 1942722426
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABISHEK BALA
Provider Business Mailing Address
First Line : 1000 HOUGHTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48602-5303
Country : US
Telephone Number : 989-583-6800
Fax Number :
Provider Business Practice Location Address
First Line : 3201 HALLMARK CT
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2109
Country : US
Telephone Number : 989-746-7500
Fax Number : 989-746-7658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 03/10/2026

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Directions to “ ABISHEK BALA ” Practice Location

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