Individual
ANIRBAN BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF NEUROSURGERY, SHREVEPORT, LA 71103-4228
(318) 675-6121
(318) 675-4457
Mailing address
1501 KINGS HWY, DEPARTMENT OF NEUROSURGERY, SHREVEPORT, LA 71103-4228
(318) 675-6121
(318) 675-4457
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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