| NPI | 1366533952 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-27 |
| Last Updated | 2011-03-08 |
| Authorized Official | Chaim Banjo Owner Phone: 9726867947 |
| Mailing Address | 718 W Moore Ave, 101 Terrell, TX 75160 United States Phone: (972) 551-1900 📍 View Map |
| Primary Practice Address | 718 W Moore Ave, 101 Terrell, TX 75160 United States Phone: (972) 551-1900 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 109453402 | - |
| Other (non-Medicare) | TX | 85A011 | rendering provider |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | TX | G4442 |
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About NPI 1366533952
Chaim Banjo Md Phd Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1366533952. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The organization is located in Terrell, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366533952?
NPI 1366533952 belongs to Chaim Banjo Md Phd Pa, a Internal Medicine, Cardiovascular Disease in Terrell, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366533952 active?
The current status of NPI 1366533952 in the NPPES registry is Active. The record was last updated on 2011-03-08.
What specialty is NPI 1366533952?
NPI 1366533952 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366533952?
You can verify NPI 1366533952 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366533952?
The primary practice address on file for NPI 1366533952 is 718 W Moore Ave, Terrell, TX 75160. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366533952 issued?
NPI 1366533952 was first issued (enumerated) on 2006-09-27. The NPPES record was last updated on 2011-03-08.
Practice Location Map
Chaim Banjo Md Phd Pa is located at 718 W Moore Ave, Terrell, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Chaim Banjo Md Phd Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366533952. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | G4442 | TX |