Banerji, Manatosh
Banerji, Manatosh is an sole proprietor health care provider with primary practice located at 715 W North Ave , Melrose Park IL 60160-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Banerji, Manatosh can be contacted via phone (708) 450-4554.Contact Information
Primary practice address
715 W North Ave
Melrose Park IL 60160-1612
Phone: (708) 450-4554
Fax: (708) 344-6816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036044727 | Illinois |
Profile Details
| NPI number | 1164411435 |
|---|---|
| LBN Legal business name | Banerji, Manatosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | May 2nd, 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 | 1164411435 | NPPES |
| Illinois | MEDICAID | 036044727 |
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