Individual
BENJAMIN GEORGE BANAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 251-8865
Mailing address
44 KROG ST NE UNIT 202, ATLANTA, GA 30307-2643
(321) 591-3650
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
84027
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2018
Last updated
05/03/2021
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