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Individual
DR. PRADEEP BANSAL
Active
Individual
DR. PRADEEP BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
192386
NY
207RG0100X
Gastroenterology Physician
Primary
1923861
NY
Other
Enumeration date
01/04/2006
Last updated
07/19/2019
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