Organization
RAYNANDO L. BANKS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYNANDO L BANKS SR. MD (OWNER)
(225) 387-7858
Entity
Organization
Contact information
Practice address
3905 CONVENTION ST, BATON ROUGE, LA 70806-3806
(225) 387-7858
(225) 381-6980
Mailing address
3905 CONVENTION ST, BATON ROUGE, LA 70806-3806
(225) 387-7858
(225) 381-6980
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1924245
—
LA
Enumeration date
08/23/2010
Last updated
08/23/2010
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