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Contact Information

SUJANA BALLA, MBBS
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT84112
 Phone: 801-581-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUJANA BALLA · (Female)

NPI Number 1346877123
Status Active
Credentials MBBS
Entity Individual
Enumeration date 03/24/2020
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 13930758-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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