Provider Demographics
NPI:1477086205
Name:BANDA, REMMY (MBA-HM, PA)
Entity Type:Individual
Prefix:MR
First Name:REMMY
Middle Name:
Last Name:BANDA
Suffix:
Gender:M
Credentials:MBA-HM, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27801 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3549
Mailing Address - Country:US
Mailing Address - Phone:216-417-1256
Mailing Address - Fax:216-417-1744
Practice Address - Street 1:27801 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3549
Practice Address - Country:US
Practice Address - Phone:216-417-1256
Practice Address - Fax:216-417-1744
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-08
Last Update Date:2017-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health