Individual
DR. SEVAG BANANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10810 CONNECTICUT AVE, KAISER PERMANENTE KENSINGTON MEDICAL CENTER, KENSINGTON, MD 20895-2138
(301) 929-7100
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
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
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