Most Relevant Information
Provider Data
| NPI Number: | 1003260407 |
| Provider Name: | ELNAZ BALAKHANLOU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 0101263166 |
Most Important Dates
| Enumeration Date: | 04/21/2016 |
| Last Updated: | 06/26/2020 |
Provider Practice Location
820 W DIAMOND AVE STE 400
GAITHERSBURG
MD
208781469
Practice Location Phone/Fax
| Phone: | 3013153100 |
| Fax: |
Provider Mailing Location
820 W DIAMOND AVE STE 400
GAITHERSBURG
MD
208781469
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |