Individual
DEEPAK D. BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-2014
(276) 403-4278
(276) 403-4283
Mailing address
435 E COMMONWEATH BLVD, MARTINSVILLE, VA 24112
(276) 403-4278
(276) 403-4278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101230554
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437117579
—
VA
Enumeration date
05/01/2006
Last updated
11/02/2022
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