Individual provider · NPI-1
Dr. Bonita Banerjee, D.O.
Emergency Medicine · Vienna, VA
NPI number1780767053
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1780767053
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bonita Banerjee
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 012201915 | VA | Yes |
| 207P00000X | Emergency Medicine | 20A18214 | CA | |
| 207R00000X | Internal Medicine | BB9985966 | VA |
Practice location
180 Maple Ave WVienna, VA 22180-5727
Phone 571-363-3539 · Fax 571-363-3540
Mailing address
Psc 50 Box 987Apo, AE 09494-0010
Phone 202-255-4015
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