Physician Compare National (NPI:1255478533)

HEALTHCARE PROVIDER: NIA DANIELLE BANKS M.D., PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255478533
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476610718
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090331000546
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BANKS
	Individual professional last name
Provider First Name	NIA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PLASTIC AND RECONSTRUCTIVE SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	12150 ANNAPOLIS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 309
	Group Practice or individual's line 2 address
City	GLENN DALE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207699183
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y