IndividualActive
Audreesh Banerjee, MD
NPI 1790848307 · Critical Care Medicine (Internal Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1790848307
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0010456 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3400 Civic Center Blvd
West Pavilion 1st Fl
Philadelphia, PA 19104-4306
Phone: (215) 662-3202
Fax: (215) 349-8432
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-4306
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2019-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.