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NPI Code Detail

MEDICARE: SHOMIR BANERJEE MD

MEDICARE:   SHOMIR  BANERJEE  MD
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
1207Q00000XFamily Medicine PhysicianA103779CA

General Provider Information

NPI Number : 1932366200
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOMIR BANERJEE MD
Provider Business Mailing Address
First Line : PO BOX 2522
Second Line :
City : MONTEREY
State : CA
Zip : 93942-2522
Country : US
Telephone Number : 831-708-0107
Fax Number : 831-233-3983
Provider Business Practice Location Address
First Line : 637 E ROMIE LN
Second Line :
City : SALINAS
State : CA
Zip : 93901-4205
Country : US
Telephone Number : 831-708-0107
Fax Number : 831-233-3983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 05/09/2017

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Directions to “ SHOMIR BANERJEE MD” Practice Location

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