| Sopagna Banh, PA-C | |
|
4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | |
| (302) 623-0188 | |
| (302) 733-5640 |
| Full Name | Sopagna Banh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4755 Ogletown Stanton Rd Ste 5a43, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417437625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C5-0012496 (Delaware) | Primary |
| 363A00000X | Physician Assistant | C0006946 (Maryland) | Secondary |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Sopagna Banh, PA-C 5601 Loch Raven Blvd, Baltimore, MD 21239-2950 Ph: (443) 444-8000 | Sopagna Banh, PA-C 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 Ph: (302) 623-0188 |
Alicia Renee Edelblute, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 610-406-7662 |
Gabriella Lynn Zaccone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd, Newark, DE 19713 Phone: 302-744-9645 |
Michaela T. Riordan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718 Phone: 302-733-3475 Fax: 302-325-3496 |
Mrs. Cristina L. Bonilla-cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Hygeia Dr, Newark, DE 19713 Phone: 302-273-1701 Fax: 302-273-4497 |
Mr. John Patrick Ranonis Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown Stanton Rd, Map Ii, Ste 2121, Newark, DE 19713 Phone: 302-733-4500 |
Leia Lavoie Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713 Phone: 302-623-4055 |
Christine M. Koenigbauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Micu, 3rd Floor, Rm 3e46, Newark, DE 19718 Phone: 302-733-3475 |