Individual
PAUL A BANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18111 PRINCE PHILIP DR, # 327 MILLER KAPLAN AND RAJAGOPAL PC, OLNEY, MD 20832
(301) 774-6136
(301) 570-0136
Mailing address
18111 PRINCE PHILIP DR, # 327 MILLER KAPLAN AND RAJAGOPAL PC, OLNEY, MD 20832
(301) 774-6136
(301) 570-0136
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0060335
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131901900
—
MD
Enumeration date
09/29/2006
Last updated
12/08/2010
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