Individual
DR. RAJESH S BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 SUPERIOR AVE, SUITE 330, NEWPORT BEACH, CA 92663-3637
(949) 478-7373
(949) 650-2898
Mailing address
520 SUPERIOR AVE, SUITE 330, NEWPORT BEACH, CA 92663-3637
(949) 478-7373
(949) 650-2898
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A90635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC027X
MEDICARE INDIVIDUAL PTAN ASSIGNED TO PREMIER CARDIOLOGY
CA
Enumeration date
05/11/2007
Last updated
07/14/2011
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