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Individual

SUBHAS BANERJEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

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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