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Individual
VIKAS BANSAL
Active
Individual
VIKAS BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24336
SC
207L00000X
Anesthesiology Physician
Primary
37085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243365
—
SC
05
—
379804301
—
TX
01
—
623378ZGX7
MEDICARE
TX
01
—
8HS433
BCBS
TX
01
—
P01967554
MEDICARE RAIL ROAD
TX
Enumeration date
08/29/2006
Last updated
03/17/2018
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