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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONOR WHITLEY BANTA, MD

Active

CONOR WHITLEY BANTA, MD is a Student (Health Education/Training) healthcare provider located in PROVIDENCE, Rhode Island. NPI 1114715224 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PROVIDENCE, RI

Registration Details

NPI Number
1114715224
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2025 (1.2703502292655 yrs)
Last Updated
Apr 28, 2025
License
LP06508 (RI)

Practice Information

Address
593 EDDY ST
PROVIDENCE, RI, 029034923
Browse RI providers · Browse ZIP 02903
Phone
4014444741
Fax
4014444445
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PROVIDENCE, RI

Name Credential NPI
MICHELLE E DELMAS 1467609982
PEDRO PAULO ALVES GENEROSO M.D. 1093956153
ALI AMIN M.D. 1952544264
AMANDA FALLS 1275766073
MS. SUE DEONARAIN MD 1184947293
MR. CHRISTOPHER RAYMOND COTE 1720306335
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.