Individual
MR. INDRANEEL BANERJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 NORTH AVENUE, BATTLE CREEK, MI 49017
(269) 966-8000
Mailing address
5352 BECKLEY ROAD, BATTLE CREEK, MI 49015
(269) 979-9400
(269) 979-2091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301067971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4409928100
—
MI
Enumeration date
05/17/2006
Last updated
10/04/2011
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