Individual
DR. ILA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM, 517, LITTLE ROCK, AR 72205-7101
(501) 526-7768
(501) 526-7983
Mailing address
4301 W MARKHAM, 517, LITTLE ROCK, AR 72205-7101
(501) 526-7768
(501) 526-7983
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E5298
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00407114
RAILROAD MEDICARE
AR
Enumeration date
04/24/2007
Last updated
03/18/2008
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