GANAPATHY BALA MD LLC NPI 1912916529

NPI Information

  • NPI: 1912916529
  • Provider Name: GANAPATHY BALA MD LLC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Doing Business As: ALLERGY AND ASTHMA CENTER
  • Address: 1315 S PUEBLO BLVD
    PUEBLO, CO
    ZIP 81005
  • Phone: (719) 561-9757

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NPI Details

GANAPATHY BALA MD LLC is an allergy allergy immunology in Pueblo, CO. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee GANAPATHY BALA MD LLC NPI is 1912916529. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allergy And Asthma Center.

The provider's business location address is:

1315 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005-191
Phone: (719) 561-9757
Fax: (719) 561-9764

The provider's authorized official is Ganapathy Bala .
The authorized official title is Owner and has the following contact phone number (719) 561-9757.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/9/2015.

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
1207KA0200XAllergy & ImmunologyAllergy36577COLORADOYes

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 Other Provider Identifier Issuer
1801737MEDICARE PINCOLORADO
207835744MEDICAIDCOLORADO

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: 3/30/2025

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