Individual
DR. ASHOK KUMAR BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26206 W 12 MILE RD, STE 202, SOUTHFIELD, MI 48034-1754
(248) 827-7612
(248) 827-7615
Mailing address
18451 W 12 MILE RD STE 200, LATHRUP VILLAGE, MI 48076-2635
(248) 827-7612
(248) 827-7615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301057441
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150549
—
MI
Enumeration date
11/07/2005
Last updated
06/25/2025
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