Individual
DR. CLEMENT S. K. BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
D0046607
MD
207N00000X
Dermatology Physician
Primary
D046607
MD
207NS0135X
Procedural Dermatology Physician
D0046607
MD
2086S0129X
Vascular Surgery Physician
D0046607
MD
Other
Enumeration date
05/20/2006
Last updated
02/16/2019
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