Individual
DR. AMBAR BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7250 CLEARVISTA DR STE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-5673
(317) 621-6040
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01073596A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000865797
ANTHEM PIN
IN
05
—
201212140
—
IN
Enumeration date
03/04/2009
Last updated
07/25/2025
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