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NPI Code Detail

MEDICARE: ALEXANDER BORISOVICH BANKOV M.D.

MEDICARE:   ALEXANDER BORISOVICH BANKOV  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD073454LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8050090907OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201903427-09OTHERPAAMERICHOICE
330563OTHERPAHEALTH PARTNERS FRANKFORD
41401878OTHERPAHIGHMARK BLUE SHIELD
52090439000OTHERPAKEYSTONE IBC
630002948OTHERPAKEYSTONE MERCY
701697OTHERPAHEALTH PARTNERS TORRES.
93056444OTHERPAAETNA CONTRACT
1030567OTHERPAHEALTH PARTNERS BUCKS
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
121401878OTHERPAPERSONAL CHOICE
131588043OTHERPACIGNA
142203491OTHERPAUNITED HEALTHCARE

General Provider Information

NPI Number : 1841217270
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER BORISOVICH BANKOV M.D.
Provider Business Mailing Address
First Line : 114 MAPLEWOOD DR
Second Line :
City : BEAVER
State : PA
Zip : 15009-1337
Country : US
Telephone Number : 724-709-9885
Fax Number : 724-774-1517
Provider Business Practice Location Address
First Line : 114 MAPLEWOOD DR
Second Line :
City : BEAVER
State : PA
Zip : 15009-1337
Country : US
Telephone Number : 724-709-9885
Fax Number : 724-774-1517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 06/13/2021

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Directions to “ ALEXANDER BORISOVICH BANKOV M.D.” Practice Location

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