Individual
TANUJ PARENDRA BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 S TAMIAMI TRL, SARASOTA, FL 34239-4504
(941) 925-2020
(941) 330-2200
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME123104
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME123104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015253200
—
FL
Enumeration date
05/10/2011
Last updated
11/27/2023
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