Basic Information
| Provider Information | |||||||||
| NPI: | 1114368974 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BHALLA | ||||||||
| FirstName: | MONIKA | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E CARROLL ST | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218015422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105437536 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 100 E CARROLL ST | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218015422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105437536 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2013 | ||||||||
| LastUpdateDate: | 05/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD047399 | DC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 205260 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 0101263428 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 16238 | ND | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 19457 | NV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 281494 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 60229 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A-168093 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 2017037106 | MO | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 25MA09940700 | NJ | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | D86344 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.