Bala, Sam G

Bala, Sam G is an individual health care provider with primary practice located at 37840 Medical Arts Ct , Zephyrhills FL 33541-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bala, Sam G can be contacted via phone (813) 788-5569.

Contact Information

Primary practice address
37840 Medical Arts Ct Zephyrhills FL 33541-4325
Phone: (813) 788-5569
Fax: (813) 788-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME36543 Florida

Profile Details

NPI number 1104818160
LBN Legal business name Bala, Sam G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104818160 NPPES
Florida Other 081262 AVMED
Florida Other 0624114 AVMED
Florida Other 51137 AVMED
Florida Other 10751 AVMED
Florida Other 1700023 AVMED
Florida Other 203008 AVMED

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