Individual
DR. CHAIM BANJO
Active
Individual
DR. CHAIM BANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G4442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G25
BCBS
TX
05
—
109453401
—
TX
05
—
128058802
—
TX
05
—
128058803
—
TX
05
—
128058804
—
TX
01
—
1588730121
MEDICARE
—
01
—
82G516
BCBS
TX
01
—
85A011
BCBS
TX
Enumeration date
11/27/2006
Last updated
08/30/2023
Update your record
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