Individual
DR. MEGHANA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 410-0010
Mailing address
18 WINTERFERN CV, LITTLE ROCK, AR 72211-4470
(501) 410-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-8931
AR
207RH0003X
Hematology & Oncology Physician
Primary
E-8931
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2009
Last updated
11/05/2015
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