Ivona M Banham is a Surgical in Baltimore, Maryland. Ivona M Banham practices all healthcare services and medical treatments related to Surgical. The NPI Number for Ivona M Banham is 1598726978. The last update date is 2022-05-24.
Ivona M Banham's current location address is 2700 Quarry Lake Dr Ste 300, Baltimore, Maryland. You can contact this provider via phone number 4107685555. The mailing address for Ivona M Banham is 2700 Quarry Lake Dr Ste 300, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivona M Banham |
|---|---|
| Address | 2700 Quarry Lake Dr Ste 300, Baltimore, Maryland |
| Phone Number | 4107685555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1598726978 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2022-05-24 |
Provider Mailing Address Detail
| Address | 2700 Quarry Lake Dr Ste 300 |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212093746 |
| Phone Number | 4107685555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | C00856 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00141770 | MD | R/R MEDICARE PROVIDER # | |
| CN6601 | MD | R/R MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ivona M Banham by the Centers for Medicare & Medicaid Services?
The Ivona M Banham has been issued the NPI (National Provider Identifier) 1598726978, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ivona M Banham's physical address?
The Ivona M Banham is physically located at 2700 Quarry Lake Dr Ste 300, in the city of Baltimore, MD, with the postal code 212093746.
When did the Ivona M Banham receive its 1598726978?
The Ivona M Banham was issued its 1598726978 on 2006-03-28, which is the date when the organization was assigned this unique identifier.
On what date did the Ivona M Banham receive its 1598726978 assignment from the Centers for Medicare & Medicaid Services?
The Ivona M Banham was assigned its 1598726978 by the Centers for Medicare & Medicaid Services on 2006-03-28.
As of what date were the Ivona M Banham's details last updated?
The information pertaining to the Ivona M Banham, including its address, specialty, and other details, was most recently updated on 2022-05-24.
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