Individual
DR. MARA KIRSTIMEL LI GASANG BANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1793
(412) 359-8109
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 359-8109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.251488
OH
207RR0500X
Rheumatology Physician
Primary
MT230190
PA
Other
Enumeration date
04/13/2021
Last updated
04/25/2024
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