Individual provider · Type 1 NPI

Shah Bano

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1952196735 Active

Practice location

101 Dates Drive, Ithaca Ny 14850,CAYUGA Medical Center
Ithaca, NY 14850

Call (607) 252-3457 Map

Mailing address

101 Dates Drive, Ithaca Ny 14850, Internal Medicine Res
Ithaca, NY 14850

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 1952196735

Shah Bano's National Provider Identifier is 1952196735, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Dec 8, 2025.