Provider Demographics
NPI:1821155094
Name:BALCHA, MESSAY (MD)
Entity Type:Individual
Prefix:
First Name:MESSAY
Middle Name:
Last Name:BALCHA
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 1:8350 RICHMOND HWY STE 301
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2344
Mailing Address - Country:US
Mailing Address - Phone:703-704-5333
Mailing Address - Fax:703-704-6679
Practice Address - Street 1:8350 RICHMOND HWY STE 301
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2344
Practice Address - Country:US
Practice Address - Phone:703-704-5333
Practice Address - Fax:703-704-6679
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101840506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine