MARIA BALLEZA M.D. – NPI #1205978921
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

MARIA BALLEZA is a physician located in ROSEVILLE, MI. NPPES has assigned the NPI number 1205978921 to MARIA BALLEZA on February 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIA BALLEZA below.

NPI Profile for
MARIA BALLEZA

NPI Number
1205978921
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARIA BALLEZA
Credentials
M.D.
Primary location
27115 GRATIOT AVE
ROSEVILLE, MI 48066-2900
Phone: (586) 776-7000 Fax: (586) 776-2310
Mailing address
9631 MERRIMAN RD
LIVONIA, MI 48150
Phone: (734) 261-7798 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)
MI 4301049546

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.