Individual
DR. SEVAG BANANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0071905
MD
207RP1001X
Pulmonary Disease Physician
E4956
AR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0071905
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161960001
—
AR
05
—
200087590A
—
OK
Enumeration date
09/19/2005
Last updated
06/26/2021
Update your record
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