Individual
RAHUL BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4090 MAPLESHADE LN, STE 100, PLANO, TX 75093-0025
(888) 624-6882
(888) 882-4498
Mailing address
4090 MAPLESHADE LN, STE 100, PLANO, TX 75093-0025
(888) 624-6882
(888) 882-4498
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M1491
TX
207XX0801X
Orthopaedic Trauma Physician
M1491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176226201
—
TX
Enumeration date
03/02/2006
Last updated
01/24/2021
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