Individual
JEEWAN BANIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 15TH ST NW STE 111, NORTON IM CLINIC, NORTON, VA 24273-1600
(276) 439-1872
(276) 439-1872
Mailing address
96 15TH ST NW STE 111, NORTON IM RESIDENCY CLINIC, NORTON, VA 24273-1600
(276) 439-1872
(276) 439-1872
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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