Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maureen Theresa Banta, MD

Individual provider Pediatrics Physician · NPI 1871676122

Maureen Theresa Banta, MD is a Pediatrics Physician in Alexandria, Virginia. Works from 2 locations. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N Van Dorn St Ste 102
Alexandria, VA 22302-1601
Phone: (703) 933-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4808 Moorland Ln Ste 109, Bethesda, MD 20814-6131 — (301) 654-9476

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101057222 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence D0092143 (MD)

Record details

NPI number1871676122
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESNovember 19, 2022
Certification dateNovember 19, 2022

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