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Individual
DR. SUDHA BANSAL
Active
Individual
DR. SUDHA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06499700
NJ
207R00000X
Internal Medicine Physician
MD059329L
PA
208M00000X
Hospitalist Physician
25MA06499700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106861
—
NJ
05
—
1014215290004
—
PA
01
—
30059865
KEYSTONE MERCY-LOWER BUCKS GROUP
PA
01
—
30061308
KEYSTONE MERCY
PA
01
—
P00765936
RR MEDICARE
PA
01
—
P00795381
RR MEDICARE - LOWER BUCKS
PA
Enumeration date
05/04/2006
Last updated
12/08/2014
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