Individual provider · Type 1 NPI

John A. Banahan Jr., MD

Diagnostic Radiology Physician · Pascagoula, MS

NPI number 1720379720 Active

Practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Call (228) 762-1353 Map

Fax (228) 762-1359

Mailing address

1365 Market St
Pascagoula, MS 39567-6604

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X24796 (MS)
Diagnostic Radiology Physician Primary 2085R0202X32065 (AL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1720379720

John A. Banahan Jr., MD's National Provider Identifier is 1720379720, issued on Apr 25, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Pascagoula, MS. The record was last updated on Jul 21, 2022.