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Contact Information

MATTHEW T BALLO, MD
100 N HUMPHREYS BLVD
MEMPHIS, TN38120-2146
 Phone: 901-683-0055
 Fax: 901-685-2969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MATTHEW T BALLO · (Male)

NPI # 1013017094
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 35071913B
  • TN License # 50791
  • TX License # L0014
  • TX Medicaid 45529701
Hospital affiliation(s)
  • MAGNOLIA REGIONAL HEALTH CENTER - (Acute Care)
    611 ALCORN DRIVE
    CORINTH, MS 38834
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
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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