Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Soudabeh K. Banankhah, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811162522

Soudabeh K. Banankhah, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Baltimore, Maryland. Qualified in 2007, 19 years ago. Practices with Anesthesia Services of San Joaquin PC, a 75-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone: (410) 550-0465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R106053 (MD)

Record details

NPI number1811162522
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESJune 25, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Anesthesia Services Of San Joaquin Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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