Organization
SUDESH BANAJI, MD, PLLC
Active
Other names
Internal Medicine of Forrest City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDESH BANAJI MD (OWNER)
(870) 630-2233
Entity
Organization
Contact information
Practice address
332 E COOK ST, FORREST CITY, AR 72335-2830
(870) 630-2233
(870) 630-2224
Mailing address
332 E COOK ST, FORREST CITY, AR 72335-2830
(870) 630-2233
(870) 630-2224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138381001
—
AR
01
—
5F219
AR BCBS
AR
01
—
5L309
AR BCBS
AR
Enumeration date
10/25/2006
Last updated
03/24/2011
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