Individual
HADELE BANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
(614) 272-7225
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.121128
OH
207R00000X
Internal Medicine Physician
Q1086
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
449510
MEDICARE
TX
Enumeration date
05/04/2010
Last updated
04/29/2026
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