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NPI Code Detail

MEDICARE: MR. DEV BANERJI

MEDICARE: MR. DEV BANERJI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1467183731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEV BANERJI
Provider Business Mailing Address
First Line : PEDIATRIC EDUCATION OFFICE
Second Line : CAMPUS BOX 7593
City : CHAPEL HILL
State : NC
Zip : 27599-7593
Country : US
Telephone Number : 919-966-3172
Fax Number : 336-832-3152
Provider Business Practice Location Address
First Line : 301 E WENDOVER AVE STE 400
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-832-3150
Fax Number : 336-832-3152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2022
Last Update Date : 04/23/2026

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