NPI 1043647589

Reyadh David Al-Banna, PAC

Practitioner Physician Assistant Glen Burnie, MD

Practice location

Address: 301 Hospital Dr Suite 802, Glen Burnie, MD 21061-5803
Phone: (410) 553-8290
Fax: (410) 553-8288

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C0005157 (MD)

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Registry record

NPI: 1043647589
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2013
Record last updated: 6 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.