Provider Demographics
NPI:1457560609
Name:BANH, LUONG M (MD)
Entity Type:Individual
Prefix:DR
First Name:LUONG
Middle Name:M
Last Name:BANH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1026 A AVENUE NE
Mailing Address - Street 2:ST. LUKE'S HOSPITALIST PROGRAM
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402
Mailing Address - Country:US
Mailing Address - Phone:319-368-5970
Mailing Address - Fax:319-368-5973
Practice Address - Street 1:1026 A AVENUE NE
Practice Address - Street 2:ST. LUKE'S HOSPITALIST PROGRAM
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-368-5970
Practice Address - Fax:319-368-5973
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA39131208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist