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NPI Code Detail

MEDICARE: CHINMAYEE BANERJI MD

MEDICARE: CHINMAYEE BANERJI 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 Physician0101053502VA

General Provider Information

NPI Number : 1972567675
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINMAYEE BANERJI MD
Provider Business Mailing Address
First Line : 4700 MILLENIA BLVD STE 650
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6013
Country : US
Telephone Number : 407-447-7120
Fax Number :
Provider Business Practice Location Address
First Line : 1118 W MERCURY BLVD
Second Line :
City : HAMPTON
State : VA
Zip : 23666-3328
Country : US
Telephone Number : 757-276-9526
Fax Number : 877-487-2116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 10/23/2023

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Directions to “ CHINMAYEE BANERJI MD” Practice Location

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