Banerji, Debabrata
Banerji, Debabrata is an individual health care provider with primary practice located at 83 Progress Pkwy , Maryland Heights MO 63043. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Banerji, Debabrata can be contacted via phone (314) 434-8174.Contact Information
Primary practice address
83 Progress Pkwy
Maryland Heights MO 63043
Phone: (314) 434-8174
Fax: (314) 434-8706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R6523 | Missouri |
Profile Details
| NPI number | 1548268014 |
|---|---|
| LBN Legal business name | Banerji, Debabrata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 21st, 2011 - about 13 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 | 1548268014 | NPPES |
| Missouri | MEDICAID | 201187705 |
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