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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528064078 NPPES
Louisiana MEDICAID 1493651

Popular Providers