Individual
MR. NIKHIL BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11525 OLDE CABIN RD, SAINT LOUIS, MO 63141-7146
(314) 997-0554
(314) 997-5086
Mailing address
11525 OLDE CABIN RD, SAINT LOUIS, MO 63141-7146
(314) 997-0554
(314) 997-5086
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036132434
IL
207RG0100X
Gastroenterology Physician
Primary
2018019584
MO
207RG0100X
Gastroenterology Physician
39347
SC
Other
Enumeration date
04/03/2010
Last updated
07/11/2025
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