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SHANA L BALLOW DO INC NPI 1538417381


NPI Information

NPI: 1538417381
Provider Name: SHANA L BALLOW DO INC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
1044 S FAIR OAKS AVE
SUITE 101
PASADENA, CA
ZIP 91105
Phone: (626) 768-4415
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SHANA L BALLOW DO INC is a trauma surgery surgery in Pasadena, CA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. SHANA L BALLOW DO INC NPI is 1538417381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1044 S FAIR OAKS AVE
SUITE 101
PASADENA, CA
ZIP 91105-622
Phone: (626) 768-4415
Fax: (626) 403-0321

The provider's authorized official is Shana Lynn Ballow .
The authorized official title is President and has the following contact phone number (818) 640-3552.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/31/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0127XSurgeryTrauma Surgery20A10299CALIFORNIAYes

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: 11/14/2023

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