Basic Information
| Provider Information | |||||||||
| NPI: | 1508837568 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BANKS | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | KIRK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 BUSINESS PARK DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234626535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7579621083 | ||||||||
| FaxNumber: | 7579621254 | ||||||||
| Practice Location | |||||||||
| Address1: | 844 KEMPSVILLE RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572610700 | ||||||||
| FaxNumber: | 7579621254 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2006 | ||||||||
| LastUpdateDate: | 05/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 0101037942 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | 0101037942 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | PAR | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | 15792 | 01 | VA | SENTARA OHP/SHP | OTHER | 331151 | 01 | VA | ANTHEM | OTHER | 263654 | 01 | VA | UNITED HEALTHCARE/MAMSI | OTHER | 890632B | 05 | NC | MEDICAID | 239044 | 01 | VA | MAMSI | OTHER | 320722 | 01 | VA | ANTHEM BCBS | OTHER | PAR | 01 | VA | AETNA | OTHER | PAR | 01 | VA | MULTIPLAN | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | OTHER | 006096310 | 05 | VA | MEDICAID | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | 55933 | 01 | VA | OPTIMA | OTHER | PAR | 01 | VA | CIGNA | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | 006083595 | 05 | VA | MEDICAID | 0632B | 01 | NC | NC BC/BS | OTHER | -001 | 01 | VA | TRICARE/CHAMPUS | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER |