Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIKTOR BALLADA, M.D.
ActiveVIKTOR BALLADA, M.D. is a 2083P0011X healthcare provider located in SAINT LOUIS, Missouri. NPI 1972543460 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1972543460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.18951603242 yrs)
- Last Updated
- Nov 8, 2017
- Licenses
-
016912 (ME)2013007023 (MO)2013007023 (MO)
Practice Information
- Address
-
10012 KENNERLY RDSTE 406SAINT LOUIS, MO, 631282197Browse MO providers · Browse ZIP 63128
- Phone
- 3145251798
- Fax
- 3145254469
- Primary Specialty
-
2083P0011X
2083P0011X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- 2083P0011X
Other 2083P0011X Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| VALINDA ALLEN | MD | 1992898795 |
| DR. TANNER WILLIAM BOES | MD | 1013351477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.