Dr. Glenn Banegura, MD
Internal Medicine in Snellville, Georgia
1770744989- Practice location
- 1700 Medical Way, Hospitalist Office, Snellville, GA 30078-2195
- Phone
- 617-901-6120
- Fax
- —
- Last updated
- December 9, 2025
Glenn Banegura is an Internal Medicine based in Snellville, GA. Glenn Banegura practices in Snellville, GA and has the professional credentials of MD. The NPI Number for Glenn Banegura is 1770744989 and holds a License No. 16816 (HI). The current practice location address for Glenn Banegura is 1700 Medical Way, Hospitalist Office, Snellville, GA 30078-2195 and can be reached out via phone at 617-901-6120.
Provider Profile Details
- NPI Number
- 1770744989
- Provider Name
- Glenn Banegura
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1700 Medical Way, Hospitalist Office, Snellville, GA 30078-2195
- Phone Number
- 617-901-6120
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 19, 2008
- Last Update Date
- December 9, 2025
- Certification Date
- December 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1700 Medical Way
Hospitalist Office
Snellville, GA 30078-2195 - City
- Snellville
- State
- Georgia
- Zip
- 30078-2195
- Phone Number
- 617-901-6120
Provider Business Mailing Address Details
- Address
- 1700 Medical Way
Snellville, GA 30078-2195 - City
- Snellville
- State
- GA
- Zip
- 30078-2195
License Information
- License Number (1)
- 16816
- License State (1)
- HI
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 1796320
- License State (2)
- WI
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- 036147581
- License State (3)
- IL
- Taxonomy (3)
- Internal Medicine · 207R00000X
- License Number (4)
- 129782
- License State (4)
- MT
- Taxonomy (4)
- Hospitalist · 208M00000X
- License Number (5)
- 34002
- License State (5)
- SC
- Taxonomy (5)
- Internal Medicine · 207R00000X
- License Number (6)
- 35C.000288
- License State (6)
- OH
- Taxonomy (6)
- Internal Medicine · 207R00000X
- License Number (7)
- 25734
- License State (7)
- MS
- Taxonomy (7)
- Internal Medicine · 207R00000X
- License Number (8)
- 23114
- License State (8)
- NV
- Taxonomy (8)
- Internal Medicine · 207R00000X
- License Number (9)
- 35270
- License State (9)
- NH
- Taxonomy (9)
- Internal Medicine · 207R00000X · Primary
- License Number (10)
- 67897
- License State (10)
- TN
- Taxonomy (10)
- Internal Medicine · 207R00000X
- License Number (11)
- 31509
- License State (11)
- AL
- Taxonomy (11)
- Internal Medicine · 207R00000X
- License Number (12)
- 66752
- License State (12)
- GA
- Taxonomy (12)
- Internal Medicine · 207R00000X
- License Number (13)
- 334379
- License State (13)
- LA
- Taxonomy (13)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Glenn Banegura, MD?
The NPI number of Dr. Glenn Banegura, MD is 1770744989. It was assigned on June 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Glenn Banegura, MD?
Dr. Glenn Banegura, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in HI under license number 16816.
Where does Dr. Glenn Banegura, MD practice?
The practice location is 1700 Medical Way, Hospitalist Office, Snellville, GA 30078-2195. The office can be reached at 617-901-6120 (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 1770744989 directly on the NPPES registry website.