Bannister Internal Medicine Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2010019768 Issued in MO

Legal business name

BANNISTER INTERNAL MEDICINE CLINIC

Practice address

9520 James a Reed Rd
Suite B
Kansas City, MO 64134-1689

Phone

(816) 599-6317

Fax

(816) 599-6319

NPI assigned

May 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fatima H Khan, D.O

Title

Owner

Phone

(816) 599-6317

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bannister Internal Medicine Clinic, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1013395235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 JAMES A REED RD",
            "address_2": "SUITE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341689",
            "telephone_number": "816-599-6317",
            "fax_number": "816-599-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 JAMES A REED RD",
            "address_2": "SUITE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341689",
            "telephone_number": "816-599-6317",
            "fax_number": "816-599-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNISTER INTERNAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-599-6317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2010019768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881914034",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bannister Internal Medicine Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Banks
• Joseph Franklin Banks, D.O.
• Princess B Banks
• Tyshawna Banks
• Leslie Anne Banning, RN
• Prameela Banoth, M.D
• Ajay Bansal, MD
• Lalit Raj Bansal, M.D.
• Vasu Bansal
• Joyce Banta

• Primary Care Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.