Provider Demographics
NPI:1578541967
Name:BANERJI, PIA (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:PIA
Middle Name:
Last Name:BANERJI
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9125
Mailing Address - Country:US
Mailing Address - Phone:214-648-1998
Mailing Address - Fax:214-648-1996
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9125
Practice Address - Country:US
Practice Address - Phone:214-648-1998
Practice Address - Fax:214-648-1996
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS