Banjo, Chaim

Banjo, Chaim is an individual health care provider with primary practice located at 718 W Moore Ave Ste 101 , Terrell TX 75160-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Banjo, Chaim can be contacted via phone (972) 551-1900.

Contact Information

Primary practice address
718 W Moore Ave Ste 101 Terrell TX 75160-3130
Fax: (972) 551-1974
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G4442 Texas

Profile Details

NPI number 1588730121
LBN Legal business name Banjo, Chaim
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Aug 30th, 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 1588730121 NPPES
Texas MEDICAID 128058804
Texas Other 1588730121
Texas MEDICAID 128058802
Texas Other 00G25
Texas MEDICAID 109453401
Texas Other 82G516
Texas Other 85A011
Texas MEDICAID 128058803

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