Vidya Ramakrishnaiah Bansal, MD - Pediatrics in Clarksville, TN

Vidya Ramakrishnaiah Bansal, MD is a Pediatrics physician based in Clarksville, Tennessee. Vidya Ramakrishnaiah Bansal is licensed to practice in Tennessee (license number 43833) and her current practice location is 111 Otis Smith Dr, Clarksville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (931) 553-6666.

NPI number for Vidya Ramakrishnaiah Bansal is 1417149071 and her current mailing address is 111 Otis Smith Dr, Clarksville, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417149071.

Contact Information

Vidya Ramakrishnaiah Bansal, MD
111 Otis Smith Dr,
Clarksville, TN 37043
(931) 553-6666
Not Available

Map and Direction




Physician's Profile

Full NameVidya Ramakrishnaiah Bansal
GenderFemale
SpecialityPediatrics
Location111 Otis Smith Dr, Clarksville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417149071
  • Provider Enumeration Date: 08/16/2007
  • Last Update Date: 06/21/2018

Medical Identifiers

Medical identifiers for Vidya Ramakrishnaiah Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417149071NPI-NPPES
Q035503MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35 090073 (Ohio)Secondary
208000000XPediatrics 43833 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vidya Ramakrishnaiah Bansal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vidya Ramakrishnaiah Bansal, MD
111 Otis Smith Dr,
Clarksville, TN 37043-8940

Ph: (931) 553-6666
Vidya Ramakrishnaiah Bansal, MD
111 Otis Smith Dr,
Clarksville, TN 37043

Ph: (931) 553-6666

Reviews and Comments


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