| Dr Peter T Banos, MD | |
|
1217 Floribunda Ave, #4, Burlingame, CA 94010-8103 | |
| (714) 655-3152 | |
| Not Available |
| Full Name | Dr Peter T Banos |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1217 Floribunda Ave, Burlingame, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942495353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G077634 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter T Banos, MD 1217 Floribunda Ave, #4, Burlingame, CA 94010-8103 Ph: (714) 655-3152 | Dr Peter T Banos, MD 1217 Floribunda Ave, #4, Burlingame, CA 94010-8103 Ph: (714) 655-3152 |
Charles A Fracchia Jr., M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 784 Willborough Rd, Burlingame, CA 94010 Phone: 650-685-7417 | |
Aitan Melamud, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1828 El Camino Real, #605, Burlingame, CA 94010 Phone: 650-692-1300 Fax: 650-692-0220 | |
Dr. Carla Maureen Jadallah, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1720 El Camino Real, Suite130, Burlingame, CA 94010 Phone: 650-692-0977 Fax: 650-259-5840 | |
Gessica Johnston, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 500 Airport Blvd Ste 100, Burlingame, CA 94010 Phone: 415-652-3581 |