Maneesh Balla
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN
NPI 1104742402 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1104742402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 350 W 14TH St
Indianapolis, IN 46202-2369 - Phone
- (317) 274-8157
- NPI assigned
- Jun 29, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | Yes |
Addresses
Primary practice location
350 W 14TH St
Indianapolis, IN 46202-2369
Mailing address
350 W 14TH St
Indianapolis, IN 46202-2369
Phone (760) 889-5665
Other providers in Indianapolis, IN
- Ryan Patrick Ball
- Shemekia T Ball
- Susan G Ball
- Taylor Ball
- Valerie Ball
- Alexandria Gael Ballard
- Janet E Ballard
- Jeanne Ellen Ballard
- Melissa Ballard
- Shelby Lauren Ballard
All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.