Individual
SUBHAS BANERJEE
Active
Individual
SUBHAS BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A77220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A772200
MEDICARE ID
CA
01
—
00A772200 (MEDICAID)
MEDI-CAL ID
CA
Enumeration date
01/17/2007
Last updated
04/15/2024
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