Individual provider · Type 1 NPI

Vibhu Banala

Adult Reconstructive Orthopaedic Surgery Physician · Media, PA

NPI number 1407485311 Active

Practice location

5201 Pennell Rd Ste C
Media, PA 19063-6502

Fax (833) 941-3871

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-2060

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XMD495745 (PA)
Orthopaedic Surgery Physician 207X00000XA201632 (CA)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

2 other providers at this address

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About NPI 1407485311

Vibhu Banala's National Provider Identifier is 1407485311, issued on Apr 2, 2020. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Media, PA. The record was last updated on Aug 27, 2026.