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

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.

Title

President

Phone

(408) 402-9990

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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
• 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.