Individual
DR. AMANDA MAE BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021788
MI
208M00000X
Hospitalist Physician
Primary
DR.0060091
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028860
KAISER COMMERCIAL NUMBER
CO
05
—
9000165279
—
CO
Enumeration date
05/19/2015
Last updated
05/10/2021
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