Dr. Sudeshna Banerjee
Internist Interventional Cardiology
3311 Riverbend Dr Suite 300
Springfield
, Oregon 97477-8800
Dr. Sudeshna Banerjee
Internist Interventional Cardiology
3311 Riverbend Dr Suite 300
Springfield
, Oregon 97477-8800
(541) 242-6770
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About
Features
Specialties
- Internist
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Sudeshna Banerjee
- 3311 Riverbend Dr Suite 300
- Springfield, OR
- Zip : 97477-8800
- Fax : (541) 242-6770
- Phone : (541) 484-4332
Second Address
- Dr. Sudeshna Banerjee
- 3311 Riverbend Dr Suite 300
- Springfield, OR
- Zip : 97477-8800
- Phone : (541) 484-4332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 57.008712 | OH |
| N | 111NI0900X | Internist | 57.008712 | OH |
| Y | 207RI0011X | Interventional Cardiology | MD155880 | OR |
National Provider Identifier
| NPI | 1093926081 |
|---|---|
| Provider Name | Dr. Sudeshna Banerjee |
| First Address | Springfield, OR 97477-8800 |
| Second Address | Springfield, OR 97477-8800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 03/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1093926081 | NPI (01) | |
| 57.008712 | OHIO TEMPORARY LICENSE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.