Reyadh D Al Banna (NPI# 1043647589, PAC ID# 0345476172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043647589 |
| PAC ID by PECOS | 0345476172 |
| Professional Enrollment ID | I20131126000670 |
| Full Name | Reyadh D Al Banna |
| Organization Legal Name | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| Address |
7927 Ritchie Hwy Glen Burnie MD 21061-4343 |
| Phone Number | 4107612273 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244543635 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210008 | MERCY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 301 Saint Paul St, Baltimore, MD 21202-2102 | ST PAUL PLACE SPECIALISTS, INC. | |
| 7602 Belair Rd, Baltimore, MD 21236-4088 | 4106638100 | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| Po Box, Suite 310, Baltimore, MD 21203-0310 | 4103329782 | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| 1600 Crain S Hwy 608, Glen Burnie, MD 21061-6442 | 4107612273 | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| 7927 Ritchie Hwy, Glen Burnie, MD 21061-4343 | 4107612273 | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| 1734 York Rd, Lutherville, MD 21093-5606 | 4102522273 | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| Organization Legal Name | NEUROSURGICAL SPECIALTY SERVICES, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Park | Neurosurgery | Neurosurgical Specialty Services, LLC | 1734 York Rd, Lutherville, MD 21093-5606 |
| Street Address |
7927 RITCHIE HWY |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankur Gupta | Diagnostic Radiology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| Susila Rajakumar | Internal Medicine | Maryland Family Care Inc | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4343 |
| Amy M Calabrese | Physical Therapy | United Physical Therapy LLC | 7927 Ritchie Hwy, Suite B, Glen Burnie, MD 21061-4373 |
| Rani Karipineni | Internal Medicine | Maryland Family Care Inc | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4343 |
| Brad M Cogan | Diagnostic Radiology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| David Sill | Interventional Radiology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| Errol Rushovich | Endocrinology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| Eli M. Shapiro | Diagnostic Radiology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| Neelum Mittal | Diagnostic Radiology | St Paul Place Specialists, Inc. | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4345 |
| Suzanne M Taylor | Physical Therapy | United Physical Therapy LLC | 7927 Ritchie Hwy, Suite B, Glen Burnie, MD 21061-4373 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLEN BURNIE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Reyadh D Al Banna.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.