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Mrs. Ivona M Banham, PA-C
Surgical Physician Assistant in Baltimore, Maryland
NPI 1598726978

Ivona M Banham is a Surgical Physician Assistant based in Baltimore, MD and is specialized in Surgical. Ivona M Banham practices in Baltimore, MD and has the professional credentials of PA-C. The NPI Number for Ivona M Banham is 1598726978 and holds a License No. C0000856 (Maryland).

The current practice location address for Ivona M Banham is 2700 Quarry Lake Dr Ste 300, Baltimore, MD and can be reached out via phone at 410-768-5555.

Location: 2700 Quarry Lake Dr Ste 300, Baltimore, MD, 21209-3746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598726978
Provider Name
Ivona M Banham
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2700 Quarry Lake Dr Ste 300, Baltimore, MD, 21209-3746
Phone Number
410-768-5555
Fax Number
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00141770 01 MD R/R MEDICARE PROVIDER #
CN6601 01 MD R/R MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2700 Quarry Lake Dr Ste 300
City
Baltimore
State
Maryland
Zip
21209-3746
Phone Number
410-768-5555
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Quarry Lake Dr Ste 300
City
Baltimore
State
Maryland
Zip
21209-3746
Phone Number
410-768-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
C00856 (Maryland)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
C0000856 (Maryland)
Definition
Definition to come...
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