Provider Demographics
NPI:1447365622
Name:BALINA, CYNTHIA K (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:BALINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2373 EUCLID HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2716
Mailing Address - Country:US
Mailing Address - Phone:216-179-3580
Mailing Address - Fax:
Practice Address - Street 1:2373 EUCLID HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2716
Practice Address - Country:US
Practice Address - Phone:216-791-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35085083207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2554892Medicaid
OHBA7332561Medicare ID - Type Unspecified
OH2554892Medicaid