MOUSTAFA BANNA


Address: 5859 W. Talavi Blvd, Suite 100, Glendale, AZ 85306-1869
Phone: 6022987777

MOUSTAFA BANNA (NPI# 1003009861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003009861
Entity Type Individual
Full Name MOUSTAFA BANNA
Credential MD
Practice Address 5859 W. Talavi Blvd
Suite 100
Glendale
AZ 85306-1869
Practice Telephone 6022987777
Practice Fax Number 6239306060
Mailing Telephone 6022987777
Mailing Fax Number 6239306060
Enumeration Date 2007-08-23
Last Update Date 2015-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
45263 AZ Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
P6136 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MT186538 PA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
TX 324413901 05
TX 324413902 05

Office Location

Street Address 5859 W. TALAVI BLVD
SUITE 100
City GLENDALE
State AZ
Zip Code 85306-1869

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548784648 Michelle Weissgerber Registered Nurse 6640 W Maui Ln, Glendale, AZ 85306 2017-07-31
1427502947 Az Interact LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6055 West Caribe Lane, Glendale, AZ 85306 2016-08-12
1649667635 Richard Moreno Jr. Physical Therapy Assistant 6509 W Acapulco Ln, Glendale, AZ 85306 2015-04-17
1568863819 Alternative Living for You Assisted Living Facility 5328 W. Tierra Buena Ln., Glendale, AZ 85306 2014-09-05
1649614561 Matthew Brownell Internal Medicine 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 2013-04-22
1366736266 Miles Christenson Speech-Language Pathologist 14627 N 60th Ave, Glendale, AZ 85306 2011-06-08
1285928721 Nathalie Tania Petein-alamshaw Internal Medicine 5555 W Thunderbird Road, Glendale, AZ 85306 2011-06-01
1134351869 William J. Duff Counselor 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 2009-08-13
1538321369 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 2008-07-02
1316109143 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 2008-07-02
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962967059 Adventist Health Physicians Network Internal Medicine 1808 Verdugo Blvd Ste 414, Glendale, CA 91208-1474 2019-02-04
1972030427 Advanced Medical & Surgical Ventures, Inc. Internal Medicine 217 S Glendale Ave, Glendale, CA 91205-1713 2017-05-15
1326438276 Healthfinity, Pllc Internal Medicine 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 2015-01-30
1336411503 Santo Salvatore Polito Internal Medicine 3255 Beaudry Ter, Glendale, CA 91208-1700 2012-02-03
1457504029 Daniel Aram Daneshvar Internal Medicine 1510 S Central Ave Ste 150, Glendale, CA 91204-2541 2008-10-28
1760678049 Jigar Anilkumar Patel Internal Medicine 18700 N 64th Dr Ste 101, Glendale, AZ 85308-7110 2007-09-19
1629270731 Dipak Jana Internal Medicine 5422 W Thunderbird Rd Ste 8, Glendale, AZ 85306-4717 2007-06-01
1316156797 Hossein Dehghani Internal Medicine 1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206-4154 2007-05-22
1265644140 Anthony B Alvaro Internal Medicine 1134 Orange Grove Ave, Glendale, CA 91205-1334 2007-05-04
1558582304 Michael A Stark Internal Medicine 1808 Verdugo Blvd., Suite 313, Glendale, CA 91208-1463 2007-05-01
Find all providers in GLENDALE

Competitor

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City GLENDALE
Zip Code 85306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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