Organization
DHIRENDRA S BANA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRENDRA SINGH BANA MD (PRESIDENT/OWNER)
(617) 524-3700
Entity
Organization
Contact information
Practice address
1153 CENTRE ST STE 5935, JAMAICA PLAIN, MA 02130-3446
(617) 524-3700
(617) 524-5839
Mailing address
1153 CENTRE ST STE 5935, JAMAICA PLAIN, MA 02130-3446
(617) 524-3700
(617) 524-5839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035706
MA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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