Individual
DR. SIRSHENDU BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8101 CLEARVISTA PKWY STE 200, INDIANAPOLIS, IN 46256-4675
(317) 621-4139
(317) 621-7885
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01072453A
IN
207R00000X
Internal Medicine Physician
MD60455391
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD60455391
—
WA
Enumeration date
07/30/2009
Last updated
09/14/2021
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