Provider Demographics
NPI:1790394039
Name:BALOCH, MUHAMMAD YASIR (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD YASIR
Middle Name:
Last Name:BALOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RIGGINS RD APT 738
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-2221
Mailing Address - Country:US
Mailing Address - Phone:850-688-6049
Mailing Address - Fax:
Practice Address - Street 1:4921 PARKVIEW PL, DIV IM NEPHROLOGY, STE 5C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-362-7603
Practice Address - Fax:314-747-5213
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2024048325207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine