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Thomas Mark Banas, MD
Neurology Physician in Fort Wayne, Indiana
NPI 1508863051

Thomas Mark Banas is a Neurology Physician based in Fort Wayne, IN and is specialized in Neurology. Thomas Mark Banas practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Thomas Mark Banas is 1508863051 and holds a License No. 2020-03917 (Indiana).

The current practice location address for Thomas Mark Banas is 7956 West Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-2416 and via fax at 260-436-9662.

Location: 7956 West Jefferson Blvd, Fort Wayne, IN, 46804-4159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508863051
Provider Name
Thomas Mark Banas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7956 West Jefferson Blvd, Fort Wayne, IN, 46804-4159
Phone Number
260-436-2416
Fax Number
260-436-9662
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0878279 05 OH
1508863051 05 NC
4132886 05 MI
100319490 05 IN
130006861 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
7956 West Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4159
Phone Number
260-436-2416
Fax Number
260-436-9662
person
Provider Business Mailing Address Details
Address
7956 West Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4159
Phone Number
260-436-2416
Fax Number
260-436-9662
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
2020-03917 (North Carolina)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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