LAITH ADLI AL BALBISSI MD NPI 1083878300

NPI Information

NPI: 1083878300
Provider Name: LAITH ADLI AL BALBISSI, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
7236 STONEROCK CIR
ORLANDO, FL
ZIP 32819
Phone: (321) 841-6444
Get Directions

Laith Adli Al Balbissi, MD is a vascular surgery surgery in Orlando, FL with 18 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Laith Adli Al Balbissi, MD NPI is 1083878300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7236 STONEROCK CIR
ORLANDO, FL
ZIP 32819-000
Phone: (321) 841-6444
Fax: (407) 370-5820

The NPI 1083878300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 8/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		Q5612	TEXAS	No
2	2086S0129X	Surgery	Vascular Surgery	ME145283	FLORIDA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	352164302	MEDICAID	TEXAS
2	352164301	MEDICAID	TEXAS
3	106291400	MEDICAID	FLORIDA
4	63075211	MEDICAID	NEW MEXICO
5	200606530 A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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