FADI M BALLA

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Dr FADI M BALLA is a male medical professional, specializing in General Surgery. He graduated in 2011.

Contact

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

10100 SE SUNNYSIDE RD
CLACKAMAS
OR
970158970

Tel: 5037868435

FADI M BALLA Information

Npi 1255626016
Pac Id 0941503163
Professional Enrollment Id I20181009002944
Last Name BALLA
First Name FADI
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Group Practice Pac Id 5799688230
Number Of Group Practice Members 1287
Line 1 Street Address 10100 SE SUNNYSIDE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLACKAMAS
State OR
Zip Code 970158970
Phone Number 5037868435
Hospital Affiliation Ccn 1 380103
Hospital Affiliation Lbn 1 KAISER FOUNDATION HOSPITAL - WESTSIDE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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