Ascharya Balaji

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fort Eisenhower, GA

NPI 1376338178 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1376338178
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Dwight David Eisenhower Army Medical Center
300 East Hospital Road
Fort Eisenhower, GA 30905-5650
Phone
(347) 990-5646
NPI assigned
Apr 11, 2025
Sex
Female
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)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

Dwight David Eisenhower Army Medical Center
300 East Hospital Road
Fort Eisenhower, GA 30905-5650

Mailing address

300 East Hospital Road
Fort Eisenhower, GA 30905-5650

Other providers in Fort Eisenhower, GA

All providers in Fort Eisenhower, GA · Student in an Organized Health Care Education/Training Program in Georgia

Sources for this page

Verify at the official NPI Registry.