Individual
DR. BHASKAR BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, ROOM 6402, TUCSON, AZ 85724-5028
(520) 626-6119
(520) 874-7133
Mailing address
1501 N CAMPBELL AVE, ROOM 6402, TUCSON, AZ 85724-5028
(520) 626-6119
(520) 874-7133
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
109364
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208076117
—
MO
Enumeration date
09/26/2005
Last updated
01/31/2012
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