| Ali Banki, DO | |
|
2928 Main St Ste 200, Glastonbury, CT 06033-1007 | |
| (860) 659-2779 | |
| (860) 633-9315 |
| Full Name | Ali Banki |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 2928 Main St Ste 200, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912218918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 048744 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ali Banki, D.o., P.c. | 8123201159 | 3 |
| Entity Name | Ali Banki, D.o., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811293350 PECOS PAC ID: 8123201159 Enrollment ID: O20110329000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Banki, DO 2928 Main St Ste 200, Glastonbury, CT 06033-1007 Ph: (860) 633-9315 | Ali Banki, DO 2928 Main St Ste 200, Glastonbury, CT 06033-1007 Ph: (860) 659-2779 |
Bella Kachkoff Zubkov, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 New London Tpke, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
Athanasia D Syrengelas, MD PHD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 210 New London Tpke, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
James Stephen Rosokoff, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15 Concord Street, Glastonbury, CT 06033 Phone: 860-659-2779 Fax: 860-633-9315 | |
Janelle Shield Manton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 New London Turn Pike, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
Penny Ann Lowenstein, MD Dermatology Medicare: Medicare Enrolled Practice Location: 210 New London Tpke, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 |