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NPI Code Detail

MEDICARE: DR. SUNIL BANIYA MD

MEDICARE: DR. SUNIL BANIYA MD
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
1207R00000XInternal Medicine Physician125.087094IL

General Provider Information

NPI Number : 1255283792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNIL BANIYA MD
Provider Business Mailing Address
First Line : 1500 S FAIRFIELD AVE
Second Line : DEPARTMENT OF GME, F-914
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-257-5701
Fax Number : 773-257-6027
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-257-5701
Fax Number : 773-257-6027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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