National Provider Identifier
Mangalam Bala, MD
Mangalam Bala, MD is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 368-6370.
Profile Overview
- NPI
- 1649214644
- Provider Type
- Individual
- Primary Specialty
- Geriatric Medicine (Internal Medicine) Physician
- Enumeration Date
- June 16, 2006
- Last Updated
- September 11, 2025
Practice Location
- 2300 Buffalo RD
- Bldg. 200
- Rochester, NY 14624-1360
Phone: (585) 368-6370
Specialties
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1649214644
- Entity Type
- Individual
- Last Name
- Bala
- First Name
- Mangalam
- Credential
- MD
- Mailing Street Address
- 2300 Buffalo RD
- Mailing Address Line 2
- Bldg. 200
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1360
- Mailing Country
- US
- Mailing Phone
- (585) 368-6370
- Mailing Fax
- (585) 368-3671
- Practice Street Address
- 2300 Buffalo RD
- Practice Address Line 2
- Bldg. 200
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1360
- Practice Country
- US
- Practice Phone
- (585) 368-6370
- Practice Fax
- (585) 368-3671
- Enumeration Date
- June 16, 2006
- Last Updated
- September 11, 2025
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 102721BJ (NY, Preferred Care), 7559019 (NY, Aetna), 01674015 (NY), 000911377002 (NY, Healthnow), 190510-8W (NY, Worker'S Compensation)