Active NPIIndividual provider

Tageldin Banaga

Driver in Bridgeport, Connecticut

NPI Number1689157471
Practice location
1333 E Main St Apt 5, Bridgeport, CT 06608-1400
Fax
—
Last updated
September 8, 2018

Tageldin Banaga is a Driver based in Bridgeport, CT. Tageldin Banaga practices in Bridgeport, CT. The NPI Number for Tageldin Banaga is 1689157471 and holds a License No. 017671860 (CT). The current practice location address for Tageldin Banaga is 1333 E Main St Apt 5, Bridgeport, CT 06608-1400 and can be reached out via phone at 203-543-3819.

Provider Profile Details

NPI Number
1689157471
Provider Name
Tageldin Banaga
Provider Entity Type
Individual
Gender
Male
Address
1333 E Main St Apt 5, Bridgeport, CT 06608-1400
Phone Number
203-543-3819
Primary Taxonomy
Driver · 172A00000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2018
Last Update Date
September 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Zip
06608-1400
Phone Number
203-543-3819
Bridgeport, CT 06608Get directions →

Provider Business Mailing Address Details

Address
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
City
Bridgeport
State
CT
Zip
06608-1400
Phone Number
203-543-3819

License Information

License Number
017671860
License State
CT
Taxonomy
Driver · 172A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tageldin Banaga?

The NPI number of Tageldin Banaga is 1689157471. It was assigned on September 8, 2018 and is currently active in the NPPES registry.

What is the specialty of Tageldin Banaga?

Tageldin Banaga is registered under the primary taxonomy Driver (code 172A00000X), licensed in CT under license number 017671860.

Where does Tageldin Banaga practice?

The practice location is 1333 E Main St Apt 5, Bridgeport, CT 06608-1400. The office can be reached at 203-543-3819 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689157471 directly on the NPPES registry website.

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