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

ELIAS IGNACIO BANUELOS, MD

Active

ELIAS IGNACIO BANUELOS, MD is a Family Medicine healthcare provider located in CALISTOGA, California. NPI 1366427064 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CALISTOGA, CA

Registration Details

NPI Number
1366427064
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2005 (20.669135826802 yrs)
Last Updated
Sep 29, 2022
Licenses
ME97139 (FL)
A72691 (CA)

Practice Information

Address
911 WASHINGTON ST
CALISTOGA, CA, 945151433
Browse CA providers · Browse ZIP 94515
Phone
7077092308
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in CALISTOGA, CA

Name Credential NPI
GABRIELA BERMUDEZ MD 1477553675
DR. ANDREW G ALEXANDER MD 1710963400
JEANETTE MICHELLE WILLIAMS MD 1598975138
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.