Organization
SOUTHERN OHIO GASTROENTEROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RESHMA BANERJEE-KATARIA DO (OWNER)
(740) 355-8562
Entity
Organization
Contact information
Practice address
8101 HAYPORT RD, WHEELERSBURG, OH 45694-1769
(740) 355-8562
(740) 355-7149
Mailing address
PO BOX 428, WHEELERSBURG, OH 45694-0428
(740) 355-8562
(740) 355-7149
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34008464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2548881
—
OH
Enumeration date
08/05/2006
Last updated
07/28/2015
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