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Organization
SUDESH BANAJI MD PLLC
Active
Organization
SUDESH BANAJI MD PLLC
Active
Other names
Earle Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDESH BANAJI MD (OWNER)
(870) 792-8825
Entity
Organization
Contact information
Practice address
1605 SECOND STREET, EARLE, AR 72331-1634
(870) 792-8825
(870) 792-8834
Mailing address
332 E COOK ST, FORREST CITY, AR 72335-2830
(870) 630-2233
(870) 630-2224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
E2405
AR
Other
Enumeration date
03/06/2009
Last updated
05/16/2014
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