Individual
THOMAS G. BANIAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA, SACRAMENTO, CA 95817-1460
(916) 734-7985
(916) 734-2975
Mailing address
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA, SACRAMENTO, CA 95817-1460
(916) 734-7985
(916) 734-2975
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
412652/1098 (RN/CRNA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004076
PHYSICIAN INDEX NO.
CA
Enumeration date
12/15/2005
Last updated
07/08/2007
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