Provider Demographics
NPI:1831417427
Name:GAUNA, MARIA ISABEL BANAS (MD)
Entity type:Individual
Prefix:
First Name:MARIA ISABEL
Middle Name:BANAS
Last Name:GAUNA
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:100 EXCELA HEALTH DR STE 301
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-9001
Mailing Address - Country:US
Mailing Address - Phone:724-537-1480
Mailing Address - Fax:724-539-6353
Practice Address - Street 1:100 EXCELA HEALTH DR STE 301
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-9001
Practice Address - Country:US
Practice Address - Phone:724-537-1480
Practice Address - Fax:724-539-6353
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT197197207Q00000X
PAMD449778207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007288440027Medicaid
PA391812OtherNOVITAS
PA1029198900003Medicaid
PA014582OtherHIGHMARK