Organization
VIDYA S. BANKA M.D. ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BRANIGAN (BILLING COORDINATOR)
(215) 333-6611
Entity
Organization
Contact information
Practice address
301 S 8TH ST, DUNCAN BLDG. SUITE 2B, PHILADELPHIA, PA 19106-4000
(215) 829-6369
(215) 829-6427
Mailing address
2101 BRIGHTON ST, PHILADELPHIA, PA 19149-1802
(215) 333-6611
(215) 904-8615
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012587680003
—
PA
01
—
0495507000
KHPE
PA
01
—
29277
HEALTH PARTNERS
PA
Enumeration date
07/22/2006
Last updated
06/16/2009
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