Provider Demographics
NPI:1558829564
Name:BANDA, RAMZI
Entity Type:Individual
Prefix:DR
First Name:RAMZI
Middle Name:
Last Name:BANDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GRANADA STREET
Mailing Address - Street 2:DHAHRAN TOWER
Mailing Address - City:KHOBAR
Mailing Address - State:
Mailing Address - Zip Code:31952
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DHAHRAN BLVD
Practice Address - Street 2:JHAH
Practice Address - City:DHAHRAN
Practice Address - State:
Practice Address - Zip Code:31311
Practice Address - Country:SA
Practice Address - Phone:248-522-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.049450174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist