Nicole Tere Banh, M.D.
Pediatrics in Fresno, CA. Individual provider (NPI-1).
NPI number1982808846
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1982808846
- Entity type
- Individual (NPI-1)
- Name
- Nicole Tere Banh
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A93159 | CA | Yes |
Other names
- Nicole T Birmingham (Former Name)
Practice location
7055 N Chestnut Ave Ste 106Fresno, CA 93720-0350
Phone 559-797-4400 · Fax 559-797-4401
Mailing address
7055 N Chestnut Ave Ste 106Fresno, CA 93720-0350
Phone 559-797-4400 · Fax 559-797-4401
Other practice locations
290 N Wayte Ln Ste 1300
Fresno, CA 93701-2124
Fresno, CA 93701-2124
Phone 866-342-6012
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