Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TREVOR RAYMOND BANKA, M.D.
ActiveDR. TREVOR RAYMOND BANKA, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in DETROIT, Michigan. NPI 1508069618 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · DETROIT, MI
Registration Details
- NPI Number
- 1508069618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.235131415916 yrs)
- Last Updated
- Jan 9, 2014
- Licenses
-
4301089873 (MI)264801 (NY)
Practice Information
- Address
-
2799 W GRAND BLVDCFP-6DETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 3139163898
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Orthopaedic Surgery
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.