Manatosh Banerji, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036044727 Issued in IL

Practice address

715 W North Ave
Melrose Park, IL 60160-1612

Phone

(708) 450-4554

Fax

(708) 344-6816

NPI assigned

Oct 19, 2005

Last updated

May 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1164411435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25068 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606730001",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601612",
            "telephone_number": "708-450-4554",
            "fax_number": "708-344-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJI",
        "first_name": "MANATOSH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036044727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Bachrach, M.D.
• Michele M Bailey, LCSW
• John Bajgrowicz, M.D.
• Anoop Banathia, CRNA
• Vishali Banathia
• Latesha Renee Banks, MA
• Douglas William Barge
• Tionna A Barney, MA
• Irene Barquin, LPC
• Julie Bartoski

• Hematology & Oncology Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.