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PEDRO N BANDA MD SC NPI 1467401430


NPI Information

NPI: 1467401430
Provider Name: PEDRO N BANDA MD SC

Doing Business As: CAPITOL ALLERGY CLINIC

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
6030 W CAPITOL DR
MILWAUKEE, WI
ZIP 53216
Phone: (414) 442-9166
Get Directions

PEDRO N BANDA MD SC is an allergy allergy immunology in Milwaukee, WI. PEDRO N BANDA MD SC NPI is 1467401430. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capitol Allergy Clinic.

The provider's business location address is:

6030 W CAPITOL DR
MILWAUKEE, WI
ZIP 53216-118
Phone: (414) 442-9166

The provider's authorized official is Pedro N Banda .
The authorized official title is President and has the following contact phone number (414) 442-9166.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 6/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy16227WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B84670MEDICARE UPINWISCONSIN
2000073652MEDICARE PINWISCONSIN
332857900MEDICAIDWISCONSIN

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: 11/14/2023

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