# SHONDA BANEGAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306026703
- **Gender:** F
- **Credential:** D. O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 5101016869 | MI | — |
| 2086S0129X | Vascular Surgery Physician | 6136 | AZ | — |
| 2086S0129X | Vascular Surgery Physician | R7657 | TX | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 07/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 348242401 | — | TX |