Individual
VINOD BANSAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PINE ST NW, HARTSELLE, AL 35640-2309
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 863535, ORLANDO, FL 32886-3535
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17788
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51509041
BLUE CROSS
AL
Enumeration date
05/26/2006
Last updated
07/08/2007
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