Individual
DR. SUPRATIM BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5945 TRUXTUN AVE, BAKERSFIELD, CA 93309-0610
(661) 631-5544
(661) 631-5546
Mailing address
5945 TRUXTUN AVE, BAKERSFIELD, CA 93309-0610
(661) 631-5544
(661) 631-5546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A54064
CA
2085N0904X
Nuclear Radiology Physician
A54064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A540640
BLUE SHIELD
—
05
—
00A540640
—
CA
01
—
060069477
MEDICARE RAILROAD
—
Enumeration date
03/16/2006
Last updated
05/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us