Marwan a Balaa MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C42734 Issued in CA

Legal business name

MARWAN A BALAA MD INC

Practice address

2520 Samaritan Dr
Suite 201
San Jose, CA 95124-4106

Phone

(408) 402-9990

Fax

(408) 402-0330

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marwan A Balaa, M.D.NPI 1689652935

Title

President

Phone

(408) 402-9990

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marwan A Balaa, MD

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1689652935
  Authorized official Same address or phone
• Terry C Lin, D.O

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1134258213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1295036580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244106",
            "telephone_number": "408-402-9990",
            "fax_number": "408-402-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244106",
            "telephone_number": "408-402-9990",
            "fax_number": "408-402-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN A BALAA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "BALAA",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-402-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C42734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Yahir Marure Moreno
• Umaima Marvi, MD
• Jeffrey Joseph Marvin
• Victoria Romano Marvin, LMFT
• John Sambachi Marwa-Mwita, PHARMD
• Dee Ann Marx-Kelly, MA, LMFT
• Michiko Marx
• Mary Ann C Shui, OD (Winchester Optometry)
• Mary Boots F. Robinos, D.M.D.,Inc.
• Emily Louise Masad, PA-C

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.