Bala, Vanitha
Bala, Vanitha is an individual health care provider with primary practice located at 111 Vision Park Blvd Ste 150, Shenandoah TX 77384-3002. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Bala, Vanitha can be contacted via phone (936) 321-0033.Contact Information
Primary practice address
111 Vision Park Blvd Ste 150
Shenandoah TX 77384-3002
Phone: (936) 321-0033
Fax: (936) 321-0032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 055919 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116022282 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Q0405 | Texas |
Profile Details
| NPI number | 1386662351 |
|---|---|
| LBN Legal business name | Bala, Vanitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 3rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386662351 | NPPES |
| Texas | MEDICAID | 345954701 |
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