Bannen, Paul A

Bannen, Paul A is an individual health care provider with primary practice located at 18111 Prince Philip Dr # 327 Miller Kaplan And Rajagopal Pc, Olney MD 20832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bannen, Paul A can be contacted via phone (301) 774-6136.

Contact Information

Primary practice address
18111 Prince Philip Dr # 327 Miller Kaplan And Rajagopal Pc Olney MD 20832
Phone: (301) 774-6136
Fax: (301) 570-0136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0060335 Maryland

Profile Details

NPI number 1942392899
LBN Legal business name Bannen, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 8th, 2010 - about 15 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 1942392899 NPPES
Maryland MEDICAID 131901900

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