National Provider Identifier
Adithya Bala, MD
Adithya Bala, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1063030021
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- July 07, 2020
- Last Updated
- July 03, 2023
Practice Location
- 1425 Portland Ave Bldg 3
- Rochester, NY 14621-3095
Phone: (585) 922-4000
Mailing Address
- 1632 Stone St
- Saginaw, MI 48602
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1063030021
- Entity Type
- Individual
- Last Name
- Bala
- First Name
- Adithya
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1632 Stone St
- Mailing City
- Saginaw
- Mailing State
- MI
- Mailing ZIP Code
- 48602
- Mailing Country
- US
- Mailing Phone
- (989) 583-0000
- Practice Street Address
- 1425 Portland Ave Bldg 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3095
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- July 07, 2020
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), General Practice Physician (208D00000X)