Wellformed AI

NPI 1700809571 · live from the CMS NPI Registry

Nicholas R Balaji, MD

Internal Medicine, Interventional Cardiology in Annandale, VA. National Provider Identifier 1700809571, active.

NPI record

NPI1700809571 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Interventional Cardiology 207RI0011X
Practice location3301 Woodburn Rd, Suite #301, Annandale, VA 22003
Practice phone703-204-9301
Mailing addressPo Box 37174, Baltimore, MD 21297
EnumeratedJuly 25, 2006
Last updatedJanuary 18, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease207RC0000XMD036018 (MD)
Internal Medicine, Interventional Cardiology primary207RI0011X0101254584 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.