Individual
VIBHU BANALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2060
Mailing address
1500 OWENS ST STE 430, SAN FRANCISCO, CA 94158-2335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A201632
CA
Other
Enumeration date
04/02/2020
Last updated
06/25/2025
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