Individual
DR. RITA W BANOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35082424
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-082424
OH
207LP3000X
Pediatric Anesthesiology Physician
21489
MS
207LP3000X
Pediatric Anesthesiology Physician
Primary
35-082424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09221792
—
MS
05
—
2466166
—
OH
Enumeration date
07/07/2005
Last updated
04/23/2025
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