Banagale, Raul C

Banagale, Raul C is an individual health care provider with primary practice located at 2720 Stone Park Blvd , Sioux City IA 51104-3734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Banagale, Raul C can be contacted via phone (712) 279-3789.

Contact Information

Primary practice address
2720 Stone Park Blvd Sioux City IA 51104-3734
Phone: (712) 279-3789
Fax: (712) 279-3613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21075 Iowa
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 21075 Iowa

Profile Details

NPI number 1043271406
LBN Legal business name Banagale, Raul C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 2nd, 2009 - 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 1043271406 NPPES
Iowa MEDICAID 1149385

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