| Bhavna Bali, MD | |
|
10810 Connecticut Ave, Kensington, MD 20895-2138 | |
| (301) 821-7500 | |
| (661) 250-5290 |
| Full Name | Bhavna Bali |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10810 Connecticut Ave, Kensington, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164691788 | NPI | - | NPPES |
| 00A1019570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A101957 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Bhavna Bali, MD 10810 Connecticut Ave, Kensington, MD 20895-2138 Ph: (301) 929-7100 | Bhavna Bali, MD 10810 Connecticut Ave, Kensington, MD 20895-2138 Ph: (301) 821-7500 |
Dr. Kozue Leone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7114 | |
Dr. William Harold Neches, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5229 Strathmore Ave, Kensington, MD 20895 Phone: 240-475-4077 Fax: 240-303-2512 | |
Dr. Kawaljeet K Chawla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7507 Fax: 301-929-7114 | |
Elizabeth Anne Valois, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895 Phone: 301-929-3630 | |
Dr. Laura V Rusch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Ave, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7027 | |
Dr. Carolyn L Avery, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7114 |