Organization
AHMAD BANNA, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD BANNA MD (PRESIDENT)
(440) 352-4956
Entity
Organization
Contact information
Practice address
124 LIBERTY ST, PAINESVILLE, OH 44077-3303
(440) 352-4956
(440) 352-0397
Mailing address
124 LIBERTY ST, PAINESVILLE, OH 44077-3303
(440) 352-4956
(440) 352-0397
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35045031
OH
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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