Organization Active NPI

Bala Medical, Inc

  • Internal Medicine Physician
  • Bala Cynwyd, PA
National Provider Identifier
1881879294
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD067863L Issued in PA
Legal business name
BALA MEDICAL, INC
Practice address
2 Bala PLZ
Suite PL-08
Bala Cynwyd, PA 19004-1501
Phone
(610) 667-1115
Fax
(610) 667-8008
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Akbar Khan, MD
Title
President
Phone
(908) 208-4715

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD067862L PA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD067863L PA Primary

Addresses

Primary practice location

2 Bala PLZ
Suite PL-08
Bala Cynwyd, PA 19004-1501

Mailing address

1055 Cherry Hill Rd
Princeton, NJ 08540-7723
Phone (908) 208-4715

Other names 1

  • Bala Medical Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0194801Bala Cynwyd Medical Associates2 Bala Plaza Suite Il-27, Bala Cynwyd, PA 19004Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1881879294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CHERRY HILL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407723",
            "telephone_number": "908-208-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE PL-08",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-667-1115",
            "fax_number": "610-667-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-208-4715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD067862L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD067863L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bala Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.