Provider Demographics
NPI:1205431590
Name:BANKS, AHRHASANI A
Entity type:Individual
Prefix:
First Name:AHRHASANI
Middle Name:A
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 DUKE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-1584
Mailing Address - Country:US
Mailing Address - Phone:440-855-2395
Mailing Address - Fax:
Practice Address - Street 1:884 DUKE AVE APT B
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-1584
Practice Address - Country:US
Practice Address - Phone:440-855-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker