BEZAREL M BANADDA
Internal Medicine

Address: 770 E Providence Road, Suite 112, Aldan, PA 19018

BEZAREL M BANADDA (NPI# 1265443584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265443584
Entity Type Individual
Full Name DR. BEZAREL M BANADDA
Gender Male
Credential MD
Practice Address 770 E Providence Road
Suite 112
Aldan
PA 19018
Practice Telephone 6106264400
Practice Fax Number 6102845051
Mailing Address 770 E Providence Road
Suite 112
Aldan
PA 19018
Mailing Telephone 6106264400
Mailing Fax Number 6102845051
Enumeration Date 2006-08-11
Last Update Date 2007-09-12
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207R00000X Internal Medicine MD059215L PA Allopathic & Osteopathic Physicians

Other Provider Identifiers

Identifier State Issuer Type Code
01-01596406 PA MEDICAID

Physician Overview

PECOS Associate Control (PAC) ID 7911058185
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20090629000308
Last Name BANADDA
First Name BEZARELI
Middle Name M
Location 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333
Graduation Year 1982
Primary Specialty INTERNAL MEDICINE

Office Location

Street Address 770 E PROVIDENCE ROAD
SUITE 112
City ALDAN
State PA
Zip Code 19018

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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174939482 Yub Raj Sedhai Internal Medicine 776 E Providence Rd Apt D410, Aldan, PA 19018-4341 2014-07-08
1750671608 Jennifer N Christian Internal Medicine 774 E Providence Rd, C-402, Aldan, PA 19018-4322 2011-04-12

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Competitor

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City ALDAN
Zip Code 19018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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