Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D76272 | MD |
N | 207VE0102X | Reproductive Endocrinologist | 0101255009 | VA |
N | 207VE0102X | Reproductive Endocrinologist | D76272 | MD |
NPI | 1386804144 |
---|---|
Provider Name | Jashoman Banerjee |
First Address | Baltimore, MD 21201-5804 |
Second Address | Baltimore, MD 21218-3938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 21/05/2014 |