DR. CHAIM BANJO MD PHD NPI 1588730121

NPI Information

NPI: 1588730121
Provider Name: DR. CHAIM BANJO, MD PHD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
718 W MOORE AVE STE 101
TERRELL, TX
ZIP 75160
Phone: (972) 551-1900
Get Directions

DR. Chaim Banjo, MD PHD is a cardiovascular disease internal medicine in Terrell, TX with 45 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Chaim Banjo, MD PHD NPI is 1588730121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

718 W MOORE AVE STE 101
TERRELL, TX
ZIP 75160-130
Phone: (972) 551-1900
Fax: (972) 551-1974

The NPI 1588730121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G4442	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	128058804	MEDICAID	TEXAS
2	1588730121	OTHER		MEDICARE
3	128058802	MEDICAID	TEXAS
4	00G25	OTHER	TEXAS	BCBS
5	109453401	MEDICAID	TEXAS
6	82G516	OTHER	TEXAS	BCBS
7	85A011	OTHER	TEXAS	BCBS
8	128058803	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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