Provider Demographics
NPI:1376538207
Name:BAL, DEEPINDER S (MD)
Entity Type:Individual
Prefix:MR
First Name:DEEPINDER
Middle Name:S
Last Name:BAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-5900
Mailing Address - Fax:615-342-5912
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-5900
Practice Address - Fax:615-342-5912
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2007-10-16
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Provider Licenses
StateLicense IDTaxonomies
TN30668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3843464Medicaid
KY64028384Medicaid
TN3843464Medicaid
TN3843469Medicare ID - Type Unspecified