Banik, Prabir

Banik, Prabir is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Banik, Prabir can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 758-6005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244087 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 244087 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 110031 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME110031 Florida

Profile Details

NPI number 1588779110
LBN Legal business name Banik, Prabir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 7th, 2023 - about last year

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 1588779110 NPPES
New York MEDICAID 02618688
New York MEDICAID 59-3209933

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