Provider Demographics
NPI:1447264742
Name:BALHARA INTERNAL MEDICINE ASSOCIATES PC
Entity type:Organization
Organization Name:BALHARA INTERNAL MEDICINE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGINDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-261-2583
Mailing Address - Street 1:761 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4210
Mailing Address - Country:US
Mailing Address - Phone:717-261-2583
Mailing Address - Fax:717-261-2584
Practice Address - Street 1:761 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4210
Practice Address - Country:US
Practice Address - Phone:717-261-2583
Practice Address - Fax:717-261-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019460770001Medicaid
PA0019460770001Medicaid