Individual
AHMAD BANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 LIBERTY ST, PAINESVILLE, OH 44077
(440) 352-4956
(440) 375-8829
Mailing address
124 LIBERTY ST, PAINESVILLE, OH 44077
(440) 352-4956
(440) 352-0397
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35045031B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452862
—
OH
Enumeration date
12/28/2005
Last updated
11/29/2011
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