NPI 1508069618 · live from the CMS NPI Registry
Trevor Raymond Banka, M.D.
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Detroit, MI. National Provider Identifier 1508069618, active.
NPI record
| NPI | 1508069618 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X |
| Practice location | 2799 W Grand Blvd, Cfp-6, Detroit, MI 48202 |
| Practice phone | 313-916-3898 |
| Enumerated | June 6, 2007 |
| Last updated | January 9, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery primary | 207XS0114X | 4301089873 (MI) |
| Orthopaedic Surgery | 207X00000X | 264801 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.