Individual
SANJOY BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 HUGHES DR, SUITE 860, TOLEDO, OH 43606-3856
(419) 291-7010
(419) 479-6917
Mailing address
2109 HUGHES DR, SUITE 860, TOLEDO, OH 43606-3856
(419) 291-7010
(419) 479-6917
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.087838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
MMO
—
01
—
000000521494
ANTHEM
OH
01
—
06120
PARAMOUNT
OH
01
—
2665692
BCMH
OH
05
—
2665692
—
OH
01
—
46880
HEALTH PLAN OF MI
—
05
—
5202134
—
MI
01
—
734534
BUCKEYE COMMUNITY HEALTH
OH
01
—
7978181
AETNA
OH
Enumeration date
06/12/2006
Last updated
11/03/2023
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