Provider Demographics
NPI:1447711296
Name:BANERJEE, RIJU (MD)
Entity type:Individual
Prefix:
First Name:RIJU
Middle Name:
Last Name:BANERJEE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MALLORY WAY
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-2062
Mailing Address - Country:US
Mailing Address - Phone:734-262-5232
Mailing Address - Fax:
Practice Address - Street 1:3065 ROUTE 50 STE 30
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2920
Practice Address - Country:US
Practice Address - Phone:518-886-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331763207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine