Provider Demographics
NPI:1942392683
Name:BALA, NARINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:NARINDER
Middle Name:SINGH
Last Name:BALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3120 TULARE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1443
Mailing Address - Country:US
Mailing Address - Phone:559-444-1880
Mailing Address - Fax:559-444-1878
Practice Address - Street 1:3120 TULARE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1443
Practice Address - Country:US
Practice Address - Phone:559-444-1880
Practice Address - Fax:559-444-1878
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37020208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA28260Medicare UPIN