Shem Carlo Banda, PA-C
Emergency Medicine in Jeffersonville, IN. Individual provider (NPI-1).
NPI number1265082697
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1265082697
- Entity type
- Individual (NPI-1)
- Name
- Shem Carlo Banda
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2019
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 10002804A | IN | Yes |
Practice location
1220 Missouri AveJeffersonville, IN 47130-3725
Phone 812-282-6631
Mailing address
1808 Herr LnLouisville, KY 40222-6556
Phone 480-273-5015
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