Provider Demographics
NPI:1578881017
Name:BANERJEE, SAUMITRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUMITRA
Middle Name:
Last Name:BANERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SAUMITRA
Other - Middle Name:
Other - Last Name:BANDYOPADHYAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:76 THE HORSESHOE
Mailing Address - Street 2:HOLME STREET
Mailing Address - City:BEDFORD
Mailing Address - State:GREAT BRITAIN
Mailing Address - Zip Code:MK42 9AS
Mailing Address - Country:GB
Mailing Address - Phone:01144123-430-8437
Mailing Address - Fax:
Practice Address - Street 1:BEDFORD HOSPITAL NHS TRUST
Practice Address - Street 2:KEMPSTON ROAD
Practice Address - City:BEDFORD
Practice Address - State:GREAT BRITAIN
Practice Address - Zip Code:MK42 9DJ
Practice Address - Country:GB
Practice Address - Phone:01144123-435-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-096691207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology