Individual
FATU BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101269313
VA
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.150836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078439
—
OH
Enumeration date
03/30/2015
Last updated
01/29/2025
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