Ballan, Wassim
Ballan, Wassim is an sole proprietor health care provider with primary practice located at 1919 E Thomas Rd Infection Control Office, Phoenix AZ 85016-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Ballan, Wassim can be contacted via phone (602) 667-4438.Contact Information
Primary practice address
1919 E Thomas Rd Infection Control Office
Phoenix AZ 85016-7710
Phone: (602) 667-4438
Fax: (602) 546-0834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A85893 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36477 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | A85893 | California |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 36477 | Arizona |
Profile Details
| NPI number | 1598981698 |
|---|---|
| LBN Legal business name | Ballan, Wassim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 31st, 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 | 1598981698 | NPPES |
| Arizona | Other | 36477 | AZ MEDICAL LICENSE |
| Arizona | MEDICAID | 230583-01 | AZ MEDICAL LICENSE |
| Arizona | Other | A85893 | AZ MEDICAL LICENSE |
Popular Providers
-
Flynn, Patricia M
St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515, Memphis TN 38105-2794 -
Caniza, Miguela A
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Smith, Matthew W.
1919 E Thomas Rd Infection Control, Phoenix AZ 85016-7710 -
Rongkavilit, Chokechai
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Adderson, Elisabeth E
262 Danny Thomas Place., Ms 0515 St. Jude Children'S Research Hospital, Memphis TN 38105 -
Slobod, Karen S
St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515, Memphis TN 38105-2794 -
Chuang, Ilin
150 N. 18Th Ave., Suite 150 Arizona Depart. Of Health Services, Phoenix AZ 85007 -
Knapp, Katherine M
262 Danny Thomas Pl , Memphis TN 38105-3678