Provider Demographics
NPI:1104197839
Name:BAL, SWOMYA PRAKASH (MD)
Entity Type:Individual
Prefix:DR
First Name:SWOMYA
Middle Name:PRAKASH
Last Name:BAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1901 HAMILTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6459
Mailing Address - Country:US
Mailing Address - Phone:610-628-7920
Mailing Address - Fax:610-821-2853
Practice Address - Street 1:1901 HAMILTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6459
Practice Address - Country:US
Practice Address - Phone:610-628-7920
Practice Address - Fax:610-821-2853
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2014-06-09
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Provider Licenses
StateLicense IDTaxonomies
PAMD451853207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology