Healthcare Provider Details

I. General information

NPI: 1598609570
Provider Name (Legal Business Name): BANERJEE AND ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 S CORINTHIAN WAY
MOUNTAIN HOUSE CA
95391-8275
US

IV. Provider business mailing address

1638 S CORINTHIAN WAY
MOUNTAIN HOUSE CA
95391-8275
US

V. Phone/Fax

Practice location:
  • Phone: 607-725-1222
  • Fax:
Mailing address:
  • Phone: 607-725-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANIRUDDHA AMAL BANERJEE
Title or Position: CEO AND OWNER
Credential: PHD MS MHM FACHE
Phone: 607-725-1222