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Individual

DR. ANKUSH KUMAR BANSAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14611 SOUTHERN BLVD, 1082, LOXAHATCHEE, FL 33470-6801
(703) 646-1869
Mailing address
14611 SOUTHERN BLVD UNIT 1082, LOXAHATCHEE, FL 33470-6847

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101246131
VA
207R00000X
Internal Medicine Physician
036134319
IL
207R00000X
Internal Medicine Physician
18320
ME
207R00000X
Internal Medicine Physician
2011035989
MO
207R00000X
Internal Medicine Physician
254229
NY
207R00000X
Internal Medicine Physician
25465
WV
207R00000X
Internal Medicine Physician
25MA08633100
NJ
207R00000X
Internal Medicine Physician
345535
LA
207R00000X
Internal Medicine Physician
50291-020
WI
207R00000X
Internal Medicine Physician
51061
TN
207R00000X
Internal Medicine Physician
MD432005
PA
207R00000X
Internal Medicine Physician
Primary
ME105948
FL
208M00000X
Hospitalist Physician
18320
ME
208M00000X
Hospitalist Physician
DR.0055143
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64836 C005
TRICARE
01
MA2082235
MEDICARE 855I
01
MA3446096
MEDICARE 855R
Enumeration date
06/22/2005
Last updated
01/07/2026
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