Provider Demographics
NPI:1811374713
Name:BALHARA, ASEEM SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ASEEM
Middle Name:SINGH
Last Name:BALHARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASEEM
Other - Middle Name:SINGH
Other - Last Name:BALHARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1310 SOUTHERN AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4623
Mailing Address - Country:US
Mailing Address - Phone:202-574-5323
Mailing Address - Fax:202-574-5225
Practice Address - Street 1:1310 SOUTHERN AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-574-5323
Practice Address - Fax:202-574-5225
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT208195390200000X, 207Q00000X
DCMD046578208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine