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NPI Code Detail

MEDICARE: DR. DRAGOS BANU M.D.

MEDICARE: DR. DRAGOS BANU 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
1207R00000XInternal Medicine Physician275563NY
2207R00000XInternal Medicine Physician042-0015443VT

General Provider Information

NPI Number : 1558659367
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DRAGOS BANU M.D.
Provider Business Mailing Address
First Line : 183 PARK ST
Second Line :
City : MALONE
State : NY
Zip : 12953-1242
Country : US
Telephone Number : 518-481-2287
Fax Number :
Provider Business Practice Location Address
First Line : 115 PORTER DR
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-8629
Country : US
Telephone Number : 802-388-4701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 09/18/2025

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