Pedro N Banda MD SC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

16227 Issued in WI

Legal business name

PEDRO N BANDA MD SC

Practice address

6030 W Capitol Dr
Milwaukee, WI 53216-2118

Phone

(414) 442-9166

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Pedro N Banda, MD

Title

President

Phone

(414) 442-9166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capitol Allergy Clinic Doing business as

Locations

Practitioners 1

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

• Devang V Gandhi, MD

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1841254232
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1467401430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162118",
            "telephone_number": "414-442-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162118",
            "telephone_number": "414-442-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO N BANDA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-442-9166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WI",
            "license": "16227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32857900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Diagnostic Imaging, S.C.
• Pediatric Ear, Nose & Throat Specialists SC
• Pediatric Oral Surgery and General Dental Inc SC
• Pediatric Radiologic Services SC
• Kathrine E Pedriana, PA
• Jacqueline O Peebles, MD
• Benjamin Peerbolt, LCSW
• Cheryl Denise Peete
• Whitney Pegues
• Mia Pehringer

• Allergy Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Allergy Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.