Pushpal R Banerjee (NPI# 1669428371, PAC ID# 4284688771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669428371 |
| PAC ID by PECOS | 4284688771 |
| Professional Enrollment ID | I20050308000693 |
| Full Name | Pushpal R Banerjee |
| Address |
2650 W State Rd Suite 434 Longwood FL 32779-4815 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100320 | POINCIANA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 325 Cypress Pkwy, Kissimmee, FL 34759-3326 | 4075302000 | EAGLE PEAK EMERGENCY PHYSICIANS LLC |
| 700 W Oak St, Kissimmee, FL 34741-4924 | 4078462266 | RED MOUNTAIN EMERGENCY PHYSICIANS LLC |
| 2650 W State Rd, Suite 434, Longwood, FL 32779-4815 | ||
| 110 Longwood Ave, Rockledge, FL 32955-2828 | 3216362211 | ROCKLEDGE EMERGENCY GROUP LLC |
| Street Address |
2650 W STATE RD SUITE 434 |
| City | LONGWOOD |
| State | FL |
| Zip | 32779-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darya Kyrylina | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 2650 W State Rd, Suite 434, Longwood, FL 32779-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcel V Neesen | Physical Therapy | 686 N Hunt Club Blvd, Suite 180, Longwood, FL 32779-2218 | |
| Samuel Jean | Internal Medicine | 931 Wekiva Springs Rd, Longwood, FL 32779-2501 | |
| Antonio L Rodriguez | Pulmonary Disease | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Michael L Sampson | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Rachel V Groves | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Franchesca Marie Perez | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Rizwana Hamid | Internal Medicine | 2500 English Ivy Ct, Longwood, FL 32779-3006 | |
| Larry L Hurst | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 1948 Alaqua Dr, Longwood, FL 32779-3103 |
| Ivette Santiago-martir | Family Medicine | Optumcare Florida, LLC | 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779-3621 |
| Sivapriya Kumar | General Practice | Optumcare Florida, LLC | 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779-3621 |
| Find all physicians in zip 32779 | |||
| City | LONGWOOD |
| Zip Code | 32779 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LONGWOOD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Pushpal R Banerjee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.