Organization Active NPI

Dhirendra S Bana, MD, PC

  • Internal Medicine Physician
  • Jamaica Plain, MA
National Provider Identifier
1184898082
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035706 Issued in MA
Legal business name
DHIRENDRA S BANA, MD, PC
Practice address
1153 Centre St Ste 5935
Jamaica Plain, MA 02130-3446
Phone
(617) 524-3700
Fax
(617) 524-5839
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dhirendra Singh Bana, MDNPI 1639134323
Title
President/Owner
Phone
(617) 524-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 035706 MA Primary

Addresses

Primary practice location

1153 Centre St Ste 5935
Jamaica Plain, MA 02130-3446

Mailing address

1153 Centre St Ste 5935
Jamaica Plain, MA 02130-3446
Phone (617) 524-3700

National Provider Directory

National Provider Directory

Locations

1153 Centre St
Ste 5935
Jamaica Plain, MA 02130
Phone (617) 524-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1184898082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST STE 5935",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-524-3700",
            "fax_number": "617-524-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST STE 5935",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-524-3700",
            "fax_number": "617-524-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHIRENDRA S BANA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BANA",
        "authorized_official_first_name": "DHIRENDRA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-524-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "035706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.