Shan-Bala, Sangeetha
Shan-Bala, Sangeetha is an individual health care provider with primary practice located at 3300 Gallows Rd Dept Of , Falls Church VA 22042. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Shan-Bala, Sangeetha can be contacted via phone (703) 776-3582.Contact Information
Primary practice address
3300 Gallows Rd Dept Of
Falls Church VA 22042
Phone: (703) 776-3582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101241278 | Virginia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 010124278 | Virginia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 0101241278 | Virginia |
Profile Details
| NPI number | 1356471676 |
|---|---|
| LBN Legal business name | Shan-Bala, Sangeetha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | May 16th, 2018 - 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 | 1356471676 | NPPES |
| Other | 5374-0021 | BCBS OF DC | |
| Other | 04-53885 | BCBS OF DC | |
| Other | 1356471676 | BCBS OF DC | |
| Other | 541908787001 | BCBS OF DC |
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