Individual
DR. CHANDRAMOULI BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
29889
OK
Other
Enumeration date
12/10/2008
Last updated
09/01/2015
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