Provider Demographics
NPI:1467898510
Name:BALAJADIA, SYLVIA ARPA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ARPA
Last Name:BALAJADIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61-15 98TH ST. APT. 3-J
Mailing Address - Street 2:
Mailing Address - City:REGO PARK, NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:61-15 98TH ST. APT. 3-J
Practice Address - Street 2:
Practice Address - City:REGO PARK, NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-760-8901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163950-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice