Raul C Banagale, MD | |
2720 Stone Park Blvd, Sioux City, IA 51104-3734 | |
(712) 279-3789 | |
(712) 279-3613 |
Full Name | Raul C Banagale |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2720 Stone Park Blvd, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043271406 | NPI | - | NPPES |
1149385 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21075 (Iowa) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 21075 (Iowa) | Primary |
Entity Name | Northwest Iowa Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215962550 PECOS PAC ID: 0749198026 Enrollment ID: O20040217000619 |
Mailing Address | Practice Location Address |
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Raul C Banagale, MD 2720 Stone Park Blvd, Sioux City, IA 51104-3734 Ph: (712) 279-3789 | Raul C Banagale, MD 2720 Stone Park Blvd, Sioux City, IA 51104-3734 Ph: (712) 279-3789 |
Dr. Eyad K Najdawi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Sandra Kay Swedean Granger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-662-2700 Fax: 712-266-2666 | |
Dr. Jeremy Julian Granger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-266-2700 Fax: 712-266-2666 | |
Dr. Ray C Sturdevant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Pierce St, Suite 207, Sioux City, IA 51104 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Patrick B Beck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Alice Meng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2534 Glenn Ave, Sioux City, IA 51106 Phone: 712-274-7822 |