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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942279401 NPPES
Other 00A540640 BLUE SHIELD
Other 060069477 BLUE SHIELD
MEDICAID 00A540640 BLUE SHIELD

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