Search › Louisiana › 2085R0202X
Travis Banta, MD
NPI 1265964548 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5000 Hennessy Blvd
Baton Rouge, LA 70808 - Phone
- (225) 757-0552
- Fax
- (225) 763-9997
- Organisation at this address
- Nuclear Imaging Llc
Ryan N Majoria Md Llc
Our Lady Of The Lake Inc
Radiology Associates Llc
Nuclear Medicine Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 318
Additional practice sites
- 2500 N State St, Jackson, MS
- 1364 Clifton Rd Ne, Atlanta, GA
- 100 Womans Way, Baton Rouge, LA
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
2085R0202X
390200000X - Licence states on file
- GA, MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana