Dr. Trevor Raymond Banka
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2799 W Grand Blvd Cfp-6
Detroit
, Michigan 48202-2608
Dr. Trevor Raymond Banka
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2799 W Grand Blvd Cfp-6
Detroit
, Michigan 48202-2608
(313) 916-3898
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Trevor Raymond Banka
- 2799 W Grand Blvd Cfp-6
- Detroit, MI
- Zip : 48202-2608
- Phone : (313) 916-3898
Second Address
- Dr. Trevor Raymond Banka
- 2799 W Grand Blvd Cfp-6
- Detroit, MI
- Zip : 48202-2608
- Phone : (313) 916-3898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 264801 | NY |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301089873 | MI |
National Provider Identifier
| NPI | 1508069618 |
|---|---|
| Provider Name | Dr. Trevor Raymond Banka |
| First Address | Detroit, MI 48202-2608 |
| Second Address | Detroit, MI 48202-2608 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2007 |
| Last Update Date | 09/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.