# ADITYA BANSAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922219815
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 4301080563 | MI | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD.205050 | LA | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD434336 | PA | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 10/12/2012