DR. SANGEETHA SHAN-BALA (NPI# 1356471676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356471676 |
| Entity Type | Individual |
| Full Name | DR. SANGEETHA SHAN-BALA |
| Credential | M.D. |
| Practice Address |
3300 Gallows Rd Dept Of Falls Church VA 22042 |
| Mailing Address |
3300 Gallows Rd Dept Of Falls Church VA 22042-3307 |
| Practice Telephone | 7037763582 |
| Mailing Telephone | 7037763582 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101241278 | VA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
010124278 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101241278 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EVERCARE | 04-53885 | 01 | |
| BCBS OF DC | 5374-0021 | 01 | |
| TRICARE | 541908787001 | 01 | |
| ANTHEM BCBS | 1356471676 | 01 |
| Street Address |
3300 GALLOWS RD DEPT OF |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144285172 | Shirley K Kalwaney | Internal Medicine | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2006-04-20 |
| 1164082970 | Sebastian R Mendez Marti | Student in an Organized Health Care Education/Training Program | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2019-06-14 |
| 1346770971 | Veena Suvarna Katikineni | Student in an Organized Health Care Education/Training Program | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2017-06-15 |
| 1568990034 | Tamoore Arshad | Student in an Organized Health Care Education/Training Program | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2017-05-30 |
| 1073961819 | Vasilios Dimitrios Mavrophilipos | Emergency Medicine | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2016-06-02 |
| 1114346939 | Joseph Delio | Internal Medicine | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2014-04-09 |
| 1801138219 | Amal Chaudhry | Hospitalist | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2013-03-24 |
| 1083977664 | Saquib Nisar Chaudhri | Internal Medicine | 3300 Gallows Rd Dept Of, Falls Church, VA 22042 | 2012-06-19 |
| 1992018584 | Lauren Barber Ickowski | Physician Assistant | 3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307 | 2010-07-23 |
| 1871728709 | Kate M Gibson | Hospitalist | 3300 Gallows Rd Dept Of, Falls Church, VA 22042 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346293388 | Karl E De Jonge | Internal Medicine | 3180 Fairview Park Dr Ste 500, Falls Church, VA 22042-4516 | 2006-05-19 |
| 1437516200 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2016-01-25 |
| 1295935583 | Denise T Mohess | Internal Medicine | 3300 Gallows Road, Department of Medicine, Falls Church, VA 22042 | 2007-07-24 |
| 1265637540 | Shashikalaa Kura | Internal Medicine | 3300 Gallows Rd, Kaiser Permanente Fairfax Hospital, Falls Church, VA 22042-3307 | 2007-06-18 |
| 1861521957 | Mary Wall Zwirb | Internal Medicine | 201 N Washington St, Falls Church, VA 22046-4518 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068328 | Integrity Healthcare Corporation | Internal Medicine | 243 Mclaws Cir Ste 101, Williamsburg, VA 23185-5673 | 2017-12-13 |
| 1265899124 | Brennan Geriatric Medicine PC | Internal Medicine | 5717 Park Creste Dr, Glen Allen, VA 23059-2604 | 2016-01-24 |
| 1932526233 | Nova Health Care Management | Internal Medicine | 8181 Pasture Rose Ct, Lorton, VA 22079-2957 | 2014-03-25 |
| 1205250172 | Leesburg Internal Medicine and And Primary Care LLC | Internal Medicine | 20093 Whistling Straits Pl, Ashburn, VA 20147-3196 | 2014-02-12 |
| 1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
| 1417257585 | Richmond Internists Pllc | Internal Medicine | 4311 Otterburn Rd, Moseley, VA 23120-1262 | 2010-10-23 |
| 1144464678 | Katherine L Coffey-vega | Internal Medicine | 490 Hillsdale Dr, Charlottesville, VA 22901-5731 | 2009-04-28 |
| 1518122126 | James T Saunders Md PC | Internal Medicine | 1500 Still Harbor Ln, Virginia Beach, VA 23464-7218 | 2008-07-23 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.