Balla, Somasekhara R

Balla, Somasekhara R is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Balla, Somasekhara R can be contacted via phone (252) 537-9268.

Contact Information

Primary practice address
2100 Stantonsburg Rd Greenville NC 27834-2818
Phone: (252) 537-9268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 200000716 North Carolina

Profile Details

NPI number 1114098647
LBN Legal business name Balla, Somasekhara R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 14th, 2022 - about 2 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 1114098647 NPPES
Other 5861179 VIRGINIA MEDICAID
Other 020384900 VIRGINIA MEDICAID
Other 06006150 VIRGINIA MEDICAID
Other 127WX VIRGINIA MEDICAID
Other 2556735 VIRGINIA MEDICAID
MEDICAID 89127WX VIRGINIA MEDICAID
Other 18619 VIRGINIA MEDICAID
Other A3306 VIRGINIA MEDICAID
Other 028182 VIRGINIA MEDICAID

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