Individual
SHEENA BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Mailing address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624313
—
AZ
Enumeration date
01/02/2006
Last updated
01/05/2011
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