| Mr Indraneel Banerjee, MD | |
|
145 Hospital Ave Ste 200, Du Bois, PA 15801-1464 | |
| (814) 375-9200 | |
| (814) 375-9080 |
| Full Name | Mr Indraneel Banerjee |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 145 Hospital Ave Ste 200, Du Bois, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386135457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD479671 (Pennsylvania) | Primary |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477657195 PECOS PAC ID: 5890689715 Enrollment ID: O20050329000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Indraneel Banerjee, MD 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: () - | Mr Indraneel Banerjee, MD 145 Hospital Ave Ste 200, Du Bois, PA 15801-1464 Ph: (814) 375-9200 |
Dr. John Samuel Banerji, MD, M.CH Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 | |
Assodolah Assadnia, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 313, Du Bois, PA 15801 Phone: 814-375-9200 Fax: 814-375-9980 | |
Dr. Joseph E Chang, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 200, Du Bois, PA 15801 Phone: 814-375-9200 Fax: 814-375-9980 |