Individual
KAMAKKI JANNI RENEE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 CENTRAL EXPY N STE 120, ALLEN, TX 75013-6106
(972) 747-4345
(469) 854-8565
Mailing address
1105 CENTRAL EXPY N STE 120, ALLEN, TX 75013-6106
(972) 747-4345
(469) 854-8565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N6159
TX
207RC0000X
Cardiovascular Disease Physician
Primary
N6159
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022646
INSTITUTIONAL PERMIT
—
Enumeration date
05/21/2007
Last updated
12/07/2017
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