Banoth, Prameela

Banoth, Prameela is an individual health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Banoth, Prameela can be contacted via phone (816) 404-4070.

Contact Information

Primary practice address
2301 Holmes St Kansas City MO 64108-2640
Phone: (816) 404-4070
Fax: (816) 404-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012019401 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125055676 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2012019401 Missouri

Profile Details

NPI number 1720395171
LBN Legal business name Banoth, Prameela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2010
Last updated Mar 17th, 2018 - about 7 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 1720395171 NPPES
Arkansas MEDICAID 193710001
Arkansas MEDICAID 1720395171
Arkansas Other 431560263
Arkansas Other P01085133

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