Active NPI
Bala Medical, Inc
- Internal Medicine Physician
- Bala Cynwyd, PA
National Provider Identifier
1881879294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD067863L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD067862L | PA | |
| Internal Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0194801 | Bala Cynwyd Medical Associates | Certificate of waiver | Jun 9, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.