Suhail M Banister, M.D.
Pediatrics in Dearborn, MI. Individual provider (NPI-1).
NPI number1831169911
StatusActive
Last updated in NPPESFeb 23, 2012
Details
- NPI
- 1831169911
- Entity type
- Individual (NPI-1)
- Name
- Suhail M Banister
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2006
- Last updated
- Feb 23, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301067035 | MI | Yes |
Practice location
4700 Schaefer RdDearborn, MI 48126-3698
Phone 313-581-2600 · Fax 313-581-0228
Mailing address
5701 Hartwell StApt. 305
Dearborn, MI 48126-2200
Phone 313-584-0532
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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