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Contact Information

KIRK G BANERIAN, MD
3401 LUDINGTON STREET
ESCANABA, MI49829-1300
 Phone: 906-786-3311
 Fax: 906-789-0941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for KIRK G BANERIAN · (Male)

NPI # 1891882536
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2006
Last updated 10/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME76335
  • MI License # 4301048787
  • FL Medicaid 016623400
  • MI Medicaid 4550607
  • Other 0Q26008054 FEDERAL BLACK LUNG
  • Other 371664910 HEALTH NET FED SERVICES
  • Other P00067927 RR MEDICARE
  • MI Other 0Q26008 BCBS OF MICHIGAN
  • MI Other 0Q26008 BCN OF MICHIGAN
  • MI Other 495680 HAP
  • MI Other SJ820005 M-CARE
  • MI Other 1006439 MCCLAREN
Hospital affiliation(s) Not Available
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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