person
Debabrata Banerji, MD
General Practice Physician in Maryland Heights, Missouri
NPI 1548268014

Debabrata Banerji is a General Practice Physician based in Maryland Heights, MO. Debabrata Banerji practices in Maryland Heights, MO and has the professional credentials of MD. The NPI Number for Debabrata Banerji is 1548268014 and holds a License No. R6523 (Missouri).

The current practice location address for Debabrata Banerji is 83 Progress Pkwy, Maryland Heights, MO and can be reached out via phone at 314-434-8174 and via fax at 314-434-8706.

Location: 83 Progress Pkwy, Maryland Heights, MO, 63043-3701
person
Provider Profile Details
NPI Number
1548268014
Provider Name
Debabrata Banerji
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
83 Progress Pkwy, Maryland Heights, MO, 63043-3701
Phone Number
314-434-8174
Fax Number
314-434-8706
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201187705 05 MO
institution
Provider Business Practice Location Address Details
Address
83 Progress Pkwy
City
State
Zip
63043
Phone Number
314-434-8174
Fax Number
314-434-8706
person
Provider Business Mailing Address Details
Address
83 Progress Pkwy
City
State
Zip
63043
Phone Number
314-434-8174
Fax Number
314-434-8706
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
R6523 (Missouri)
Definition
Definition to come...
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