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Individual

DR. SANDEEP BANSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3770
(814) 375-3772
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3770
(814) 375-3772

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064798A
IN
207R00000X
Internal Medicine Physician
MD440735
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01064798A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD0440735
PA
207RP1001X
Pulmonary Disease Physician
01064798A
IN
207RP1001X
Pulmonary Disease Physician
Primary
MD440735
PA

Other

Enumeration date
02/12/2008
Last updated
07/05/2024
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