Banerjee, Supratim
Banerjee, Supratim is an individual health care provider with primary practice located at 5945 Truxtun Ave , Bakersfield CA 93309-0610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Banerjee, Supratim can be contacted via phone (661) 631-5544.Contact Information
Primary practice address
5945 Truxtun Ave
Bakersfield CA 93309-0610
Phone: (661) 631-5544
Fax: (661) 631-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A54064 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | A54064 | California |
Profile Details
| NPI number | 1942279401 |
|---|---|
| LBN Legal business name | Banerjee, Supratim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | May 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942279401 | NPPES |
| Other | 00A540640 | BLUE SHIELD | |
| Other | 060069477 | BLUE SHIELD | |
| MEDICAID | 00A540640 | BLUE SHIELD |
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