| Sudhir Bansal, Md Inc. | |
|
215 Toll Gate Rd Suite 309/310 Warwick RI 02886-4458 | |
| (401) 732-6828 | |
| (401) 223-3040 |
| Full Name | Sudhir Bansal, Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Toll Gate Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Doreen M Morency (OFFICE MANAGER) |
| Authorized Official Contact | 4017326828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir Bansal, Md Inc. 215 Toll Gate Rd Suite 309/310 Warwick RI 02886-4458 Ph: (401) 732-6828 | Sudhir Bansal, Md Inc. 215 Toll Gate Rd Suite 309/310 Warwick RI 02886-4458 Ph: (401) 732-6828 |
| NPI Number | 1932424645 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Medicare PECOS PAC ID | 2062671563 |
|---|---|
| Medicare Enrollment ID | O20120301000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932424645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RI6157 (Rhode Island) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | RI7603 (Rhode Island) | Primary |
| Provider Name | Sudhir Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356373633 PECOS PAC ID: 9133388630 Enrollment ID: I20120301000679 |
| Provider Name | Tej Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760419675 PECOS PAC ID: 0446419766 Enrollment ID: I20120306000753 |
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