Individual provider · Type 1 NPI

Jhonny Walter Perusina Banos, MD

Family Medicine Physician · Pontiac, MI

NPI number 1922848324 Active

Practice location

461 W Huron St Ste 107
Pontiac, MI 48341-1601

Fax (248) 724-6800

Mailing address

PO Box 430150
Pontiac, MI 48343-0150

Other practice locations

  • 1200 N Telegraph Rd Dept 34E, Pontiac, MI 48341-1032 · (248) 724-7600

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4351053223 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1922848324

Jhonny Walter Perusina Banos, MD's National Provider Identifier is 1922848324, issued on May 31, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pontiac, MI. The record was last updated on Jan 27, 2026.