Banire, Abdul Latif

Banire, Abdul Latif is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Banire, Abdul Latif can be contacted via phone (859) 572-3618.

Contact Information

Primary practice address
85 N Grand Ave Fort Thomas KY 41075-1793
Phone: (859) 572-3618
Fax: (859) 572-2366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1650 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1650 Indiana

Profile Details

NPI number 1003195306
LBN Legal business name Banire, Abdul Latif
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated May 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003195306 NPPES
Indiana MEDICAID 300047753
Indiana MEDICAID 7100229590

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