Active NPIIndividual provider

Banoub Michael, MD

Student in an Organized Health Care Education/Training Program in Edison, New Jersey

NPI Number1891367645
Practice location
65 James St, Edison, NJ 08820-3947
Fax
—
Last updated
July 12, 2021

Banoub Michael is a Student in an Organized Health Care Education/Training Program based in Edison, NJ. Banoub Michael practices in Edison, NJ and has the professional credentials of MD. The NPI Number for Banoub Michael is 1891367645. The current practice location address for Banoub Michael is 65 James St, Edison, NJ 08820-3947 and can be reached out via phone at 732-321-7487.

Provider Profile Details

NPI Number
1891367645
Provider Name
Banoub Michael
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
65 James St, Edison, NJ 08820-3947
Phone Number
732-321-7487
Sole Proprietor
No
Provider Enumeration Date
July 12, 2021
Last Update Date
July 12, 2021
Certification Date
July 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 James St
Edison, NJ 08820-3947
City
Edison
Zip
08820-3947
Phone Number
732-321-7487
Edison, NJ 08820Get directions →

Provider Business Mailing Address Details

Address
300 Station Dr Apt 316
Avenel, NJ 07001-1794
City
Avenel
State
NJ
Zip
07001-1794
Phone Number
201-201-9963

License Information

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 Banoub Michael, MD?

The NPI number of Banoub Michael, MD is 1891367645. It was assigned on July 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Banoub Michael, MD?

Banoub Michael, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Banoub Michael, MD practice?

The practice location is 65 James St, Edison, NJ 08820-3947. The office can be reached at 732-321-7487 (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 1891367645 directly on the NPPES registry website.

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