Healthcare Provider Details

I. General information

NPI: 1871702712
Provider Name (Legal Business Name): RUMKI BANERJEE M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8191 BROOK RD # MN
RICHMOND VA
23227-1334
US

IV. Provider business mailing address

8191 BROOK RD # MN
RICHMOND VA
23227-1334
US

V. Phone/Fax

Practice location:
  • Phone: 804-596-5320
  • Fax: 877-880-0211
Mailing address:
  • Phone: 804-596-5320
  • Fax: 877-880-0211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101240585
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: