IndividualActive
Ganapathy Bala, MD
NPI 1972509438 · Allergy & Immunology Physician · Pueblo, CO
Provider details
- NPI number
- 1972509438
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36577 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1315 S Pueblo Blvd
Pueblo, CO 81005-2191
Phone: (719) 561-9757
Fax: (719) 561-9764
Approximate (ZIP-level) locationGet directions
Mailing address
1315 S Pueblo Blvd
Pueblo, CO 81005-2191
Registry dates
- Enumerated
- 2005-06-21
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.