Provider Demographics
NPI:1437452034
Name:BALASSANIAN, NERON (MD)
Entity Type:Individual
Prefix:
First Name:NERON
Middle Name:
Last Name:BALASSANIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10650 NE 9TH PL UNIT 2322
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5080
Mailing Address - Country:US
Mailing Address - Phone:425-260-0179
Mailing Address - Fax:
Practice Address - Street 1:10650 NE 9TH PL UNIT 2322
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5080
Practice Address - Country:US
Practice Address - Phone:425-260-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA18592207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease