Banda, Michael A
Banda, Michael A is an sole proprietor health care provider with primary practice located at 2400 Hospital Dr Ste. 250, Bossier City LA 71111-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banda, Michael A can be contacted via phone (318) 746-4460.Contact Information
Primary practice address
2400 Hospital Dr Ste. 250
Bossier City LA 71111-2385
Phone: (318) 746-4460
Fax: (318) 746-3389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.09177R | Louisiana |
Profile Details
| NPI number | 1528064078 |
|---|---|
| LBN Legal business name | Banda, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jun 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528064078 | NPPES |
| Louisiana | MEDICAID | 1493651 |
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