# SUDESH BANAJI, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Internal Medicine of Forrest City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659455830
- **Authorized official:** DR. SUDESH BANAJI MD (OWNER)
- **Authorized official phone:** (870) 630-2233

## Contact information

- **Practice address:** 332 E COOK ST, FORREST CITY, AR 72335-2830
- **Practice address phone:** (870) 630-2233
- **Practice address fax:** (870) 630-2224
- **Mailing address:** 332 E COOK ST, FORREST CITY, AR 72335-2830
- **Mailing address phone:** (870) 630-2233
- **Mailing address fax:** (870) 630-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | E2308 | AR | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 03/24/2011