LARRY BANYASH, MD
Family Medicine
Active
Individual
NPI: 1114997145
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 01029868A (IN) |
Frequently Asked Questions
NPI 1114997145 is the National Provider Identifier for LARRY BANYASH, MD, a Family Medicine provider located in South Bend, IN. This NPI was enumerated on January 24, 2006.
LARRY BANYASH, MD practices at 2610 E JEFFERSON BLVD, South Bend, IN 46615.
Quick Facts
- NPI
- 1114997145
- Type
- Individual
- Enumerated
- Jan 24, 2006
- Last Updated
- Jul 8, 2007
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