Individual provider · NPI-1

Dr. Komal D Balaney, MD

Family Medicine · Suwanee, GA

NPI number1871506063
StatusActive
Last updated in NPPESOct 12, 2020

Details

NPI
1871506063
Entity type
Individual (NPI-1)
Name
Dr. Komal D Balaney
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2006
Certification date
Oct 12, 2020
Last updated
Oct 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine060435GAYes
207Q00000X Family MedicineME95582FL

Practice location

3890 Johns Creek Pkwy Ste 230
Suwanee, GA 30024-1286

Phone 770-623-1331 · Fax 770-623-5674

Mailing address

4375 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-6085

Phone 770-623-1331 · Fax 770-623-5674

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