Individual
DR. MANIBHA BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 278-6251
Mailing address
PO BOX 713058, COLUMBUS, OH 43271-0001
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35038398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862955
—
OH
Enumeration date
03/16/2006
Last updated
08/21/2007
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