Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Korea Banno, MD

Individual provider Family Medicine Physician · NPI 1669600219

Dr. Mark Korea Banno, MD is registered under Family Practice in Farmington Hills, Michigan. Qualified in 1978, 48 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
48
Licensed in
MI
In the registry since
2009
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

27970 Orchard Lake Rd Ste 1 Farmington Hills Medical Group
Farmington Hills, MI 48334-3767 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 626-1999
Fax: (248) 626-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301094195 (MI)

Record details

NPI number1669600219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESNovember 15, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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