Individual
DR. SURINDER K BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
658 W MARKET ST, LIMA, OH 45801-4653
(419) 222-3386
(419) 224-7716
Mailing address
658 W MARKET ST, LIMA, OH 45801-4653
(419) 222-3386
(419) 224-7716
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35036799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0350883
—
OH
Enumeration date
01/04/2007
Last updated
03/07/2023
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