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Individual

ALEXANDER BORISOVICH BANKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
114 MAPLEWOOD DR, BEAVER, PA 15009-1337
(724) 709-9885
(724) 774-1517
Mailing address
114 MAPLEWOOD DR, BEAVER, PA 15009-1337
(724) 709-9885
(724) 774-1517

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD073454L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019034270001
PA
05
0019034270002
PA
01
01697
HEALTH PARTNERS TORRES.
PA
01
01903427-09
AMERICHOICE
PA
01
050090907
RAILROAD MEDICARE
PA
01
1401878
HIGHMARK BLUE SHIELD
PA
01
1588043
CIGNA
PA
01
2090439000
KEYSTONE IBC
PA
01
2203491
UNITED HEALTHCARE
PA
01
30002948
KEYSTONE MERCY
PA
01
30563
HEALTH PARTNERS FRANKFORD
PA
01
3056444
AETNA CONTRACT
PA
01
30567
HEALTH PARTNERS BUCKS
PA
Enumeration date
07/15/2006
Last updated
06/13/2021
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