National Provider Identifier Database

CHAIM BANJO MD PHD PA
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

CHAIM BANJO MD PHD PA
718 W MOORE AVE
101
TERRELL, TX75160
Phone: 972-551-1900
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for CHAIM BANJO MD PHD PA

NPI Number 1366533952
Legal business name
LBN
CHAIM BANJO MD PHD PA
Authorized official CHAIM BANJO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/27/2006
Last updated 03/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: G4442
  • TX Medicaid: 109453402
  • TX Other: 85A011 RENDERING PROVIDER

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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