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Contact Information

LESANEMARIAM T BANKO, MD
12984 HESPERIA RD
STE 100
VICTORVILLE, CA92395-5819
 Phone: 760-843-7675
 Fax: 760-843-7649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LESANEMARIAM T BANKO · (Male)

NPI # 1861648560
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2008
Last updated 09/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A104321
Hospital affiliation(s)
  • DESERT VALLEY HOSPITAL - (Acute Care)
    16850 BEAR VALLEY RD
    VICTORVILLE, CA 92395
  • ST MARY MEDICAL CENTER - (Acute Care)
    18300 HIGHWAY 18
    APPLE VALLEY, CA 92307
  • VICTOR VALLEY COMMUNITY HOSPITAL - (Acute Care)
    15248 11TH ST
    VICTORVILLE, CA 92392
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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