Basic Information
Provider Information
NPI: 1033559448
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BANAYAT
FirstName: RIKKA
MiddleName: ASUNCION
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: YORK
State: PA
PostalCode: 174029001
CountryCode: US
TelephoneNumber: 7178511405
FaxNumber:  
Practice Location
Address1: 252 S 4TH ST FL 3
Address2:  
City: LEBANON
State: PA
PostalCode: 170426111
CountryCode: US
TelephoneNumber: 7172704876
FaxNumber: 7172703875
Other Information
ProviderEnumerationDate: 06/29/2013
LastUpdateDate: 04/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35252ALN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD467592PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD467592PAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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