Individual provider · Type 1 NPI

Julian Nelson Banzon Pablo I, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1730028069 Active

Practice location

4940 Eastern Avenue, Internal Medicine Clinic
Baltimore, MD 21224-2735

Call (410) 550-3350 Map

Mailing address

4940 Eastern Ave
Baltimore, MD 21224-2735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730028069

Julian Nelson Banzon Pablo I, MD's National Provider Identifier is 1730028069, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 25, 2026.