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Kais A Balbissi, MD

Internal Medicine, Interventional Cardiology in Johnson City, TN. Individual provider (NPI-1).

NPI number1760670855
StatusActive
Last updated in NPPESFeb 1, 2019

Details

NPI
1760670855
Entity type
Individual (NPI-1)
Name
Kais A Balbissi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 15, 2007
Last updated
Feb 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional CardiologyMD42438TNYes
207RC0000X Internal Medicine, Cardiovascular DiseaseMD42438TN

Practice location

329 N State Of Franklin Rd
Johnson City, TN 37604-6062

Phone 423-979-4100 · Fax 423-979-4134

Mailing address

Po Box 699
Mountain Home, TN 37684-0699

Phone 423-979-4134 · Fax 423-979-4134

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