Individual provider · Type 1 NPI

Max Balla, DO

Adult Medicine Physician · Oklahoma City, OK

NPI number 1679408751 Active

Practice location

900 NE 10th St
Oklahoma City, OK 73104-5420

Mailing address

901 Hangar Dr Apt 25
Oklahoma City, OK 73108-3551

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X1146R (OK)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1679408751

Max Balla, DO's National Provider Identifier is 1679408751, issued on Jun 17, 2026. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 17, 2026.