Debabrata Banerji, MD is a
General Practice physician based in Maryland Heights, Missouri. Debabrata Banerji is licensed to practice in Missouri (license number R6523) and his current practice location is 83 Progress Pkwy, Maryland Heights, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 434-8174.
NPI number for Debabrata Banerji is 1548268014 and his current mailing address is 83 Progress Pkwy, Maryland Heights, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548268014.
Physician's Profile
Full Name | Debabrata Banerji |
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Gender | Male |
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Speciality | General Practice |
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Location | 83 Progress Pkwy, Maryland Heights, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548268014
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 11/21/2011
Medical Identifiers
Medical identifiers for Debabrata Banerji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548268014 | NPI | - | NPPES |
201187705 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | R6523 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debabrata Banerji is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Debabrata Banerji, MD 83 Progress Pkwy, Maryland Heights, MO 63043-3701 Ph: (314) 434-8174 | Debabrata Banerji, MD 83 Progress Pkwy, Maryland Heights, MO 63043 Ph: (314) 434-8174 |
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