Dr. Sudha Bansal, M.D.
Family Medicine in Adrian, MI. Individual provider (NPI-1).
NPI number1922053008
StatusActive
Last updated in NPPESMar 14, 2012
Details
- NPI
- 1922053008
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sudha Bansal
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Mar 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301404631 | MI | Yes |
Practice location
415 Mill RdAdrian, MI 49221-1764
Phone 517-264-5820
Mailing address
Po Box 1476Adrian, MI 49221-7476
Phone 517-264-5820
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