Max Balla, DO
Individual provider Active NPI Adult Medicine Physician · Oklahoma City, OK
NPI 1679408751 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1679408751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 1146R (OK)
- Practice address
- 900 NE 10TH St
Oklahoma City, OK 73104-5420 - Phone
- (405) 271-2230
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 1146R | OK | Yes |
Addresses
Primary practice location
900 NE 10TH St
Oklahoma City, OK 73104-5420
Mailing address
901 Hangar Dr Apt 25
Oklahoma City, OK 73108-3551
Phone (512) 656-5413
Other providers in Oklahoma City, OK
- Belinda Regena Ball
- David Leroy Ball
- Patricia Jeanne Ball
- Rainee Lyne Ball
- Zsofia Balla Monjezi
- Caroline Ballard
- Charles W Ballard II
- Cynthia Ballard
- Diana K Ballard
- Ethan Ballard
All providers in Oklahoma City, OK · Adult Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 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.