Provider Demographics
NPI:1669578951
Name:BALINT, EVA (MD)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:BALINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E EL CAMINO REAL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2804
Mailing Address - Country:US
Mailing Address - Phone:408-739-6000
Mailing Address - Fax:
Practice Address - Street 1:700 E EL CAMINO REAL
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:408-739-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
CAA91096207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A910960Medicaid
CAA91096OtherMEDICAL LICENSE
CAA91096OtherMEDICAL LICENSE
I66800Medicare UPIN
CA00A910960Medicaid