Provider Demographics
NPI:1639330855
Name:BANKER, SARIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARIKA
Middle Name:
Last Name:BANKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARIKA
Other - Middle Name:
Other - Last Name:SAGGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2113
Mailing Address - Country:US
Mailing Address - Phone:516-992-6350
Mailing Address - Fax:516-992-6346
Practice Address - Street 1:400 N BROADWAY
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2113
Practice Address - Country:US
Practice Address - Phone:516-992-6350
Practice Address - Fax:516-992-6346
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119633207N00000X
NJ25MA09374300207N00000X
NY263656-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1639330855OtherCCS PANELED
CA1639330855Medicaid
CAGP396ZMedicare PIN