Organization Active NPI

Banmaha PC

  • Internal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1639114606
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD051194L Issued in PA
Legal business name
BANMAHA PC
Practice address
1015 Franklin St
Johnstown, PA 15905-4155
Phone
(814) 536-9715
Fax
(814) 539-6138
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Balkissoon A Maharajh, MDNPI 1679559272
Title
Pysician
Phone
(814) 536-9715

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 SINGLE SPECIALTY GROUP 207R00000X MD051194L PA Primary

Addresses

Primary practice location

1015 Franklin St
Johnstown, PA 15905-4155

Mailing address

1015 Franklin St
Level a
Johnstown, PA 15905-4155

Other identifiers 1

IdentifierTypeStateIssuer
0019472520002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000958 PA Part B Supplier - Clinic/Group Practice 2466414586 Receives reassigned benefits from 2 practitioners
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Locations

100 Woodmont Rd
Johnstown, PA 15905
Phone 412963915010149

216 Main St
Johnstown, PA 15901
Phone (724) 331-8307

320 Main St
Fl 3
Johnstown, PA 15901
Phone (814) 534-7360

1015 Franklin St
Fl A
Johnstown, PA 15905

Practitioners & affiliated clinicians

Practitioners 2

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1639114606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "address_2": "LEVEL A",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054155",
            "telephone_number": "814-536-9715",
            "fax_number": "814-539-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANMAHA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAHARAJH",
        "authorized_official_first_name": "BALKISSOON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PYSICIAN",
        "authorized_official_telephone_number": "814-536-9715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051194L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019472520002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.