Provider Demographics
NPI:1871702712
Name:BANERJEE, RUMKI (MD,)
Entity type:Individual
Prefix:
First Name:RUMKI
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 1:8191 BROOK RD # MN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1334
Mailing Address - Country:US
Mailing Address - Phone:804-596-5320
Mailing Address - Fax:877-880-0211
Practice Address - Street 1:8191 BROOK RD # MN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1334
Practice Address - Country:US
Practice Address - Phone:804-596-5320
Practice Address - Fax:877-880-0211
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101240585207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine