Provider Demographics
NPI:1184272288
Name:BALA, SARUMATHY (ND)
Entity type:Individual
Prefix:DR
First Name:SARUMATHY
Middle Name:
Last Name:BALA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 E LEGACY BLVD UNIT M2001
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6539
Mailing Address - Country:US
Mailing Address - Phone:512-461-1955
Mailing Address - Fax:
Practice Address - Street 1:7340 E LEGACY BLVD UNIT M2001
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6539
Practice Address - Country:US
Practice Address - Phone:512-461-1955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath