Provider Demographics
NPI:1730594615
Name:MUKERJI, BARENYA (MD)
Entity type:Individual
Prefix:
First Name:BARENYA
Middle Name:
Last Name:MUKERJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARENYA
Other - Middle Name:
Other - Last Name:CHATTOPADHYAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 RUSHING DR
Mailing Address - Street 2:
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948-3748
Mailing Address - Country:US
Mailing Address - Phone:618-998-8808
Mailing Address - Fax:618-998-8809
Practice Address - Street 1:305 W JACKSON ST STE 402
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-1474
Practice Address - Country:US
Practice Address - Phone:618-998-8808
Practice Address - Fax:618-998-8809
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036146565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology