| Sandeep Kumar Bansil Md Inc | |
|
641 S Primrose St La Habra CA 90631-9245 | |
| (562) 923-1211 | |
| Not Available |
| Full Name | Sandeep Kumar Bansil Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 641 S Primrose St, La Habra, California |
| Authorized Official Name and Position | Sandeep Kumar Bansil (PROVIDER) |
| Authorized Official Contact | 5629231211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep Kumar Bansil Md Inc 641 S Primrose St La Habra CA 90631-9245 Ph: (562) 923-1211 | Sandeep Kumar Bansil Md Inc 641 S Primrose St La Habra CA 90631-9245 Ph: (562) 923-1211 |
| NPI Number | 1285271247 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 9739516816 |
|---|---|
| Medicare Enrollment ID | O20200302002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285271247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Sandeep K Bansil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184799124 PECOS PAC ID: 8224936513 Enrollment ID: I20031223000595 |
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