Provider Demographics
NPI:1841297959
Name:BANKER, FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:BANKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 EXPO PKWY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4227
Mailing Address - Country:US
Mailing Address - Phone:916-646-8300
Mailing Address - Fax:916-920-4434
Practice Address - Street 1:3581 PALMER DR
Practice Address - Street 2:STE 303
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8237
Practice Address - Country:US
Practice Address - Phone:530-672-1351
Practice Address - Fax:530-672-1385
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG263022085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A42970Medicare UPIN
CA00G263020Medicare ID - Type Unspecified
CABV090ZMedicare PIN