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NPI Code Detail

MEDICARE: MICHAEL D BANAS MD

MEDICARE: MICHAEL D BANAS 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
1207RC0000XCardiovascular Disease Physician222237NY

General Provider Information

NPI Number : 1447283288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D BANAS MD
Provider Business Mailing Address
First Line : 3435 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1145
Country : US
Telephone Number : 716-835-2966
Fax Number : 716-834-3901
Provider Business Practice Location Address
First Line : 3435 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1145
Country : US
Telephone Number : 716-835-2966
Fax Number : 716-834-3901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 05/20/2010

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