Individual
PRABHA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1604 BURTNER RD, NATRONA HEIGHTS, PA 15065-2845
(724) 230-3030
(724) 230-3001
Mailing address
2 HOT METAL ST, QUANTUM ONE, N431, PITTSBURGH, PA 15203-2348
(412) 432-5806
(412) 432-7691
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
MD035706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006584510005
—
PA
05
—
0006584510006
—
PA
05
—
0006584510007
—
PA
05
—
0006584510008
—
PA
05
—
0006584510009
—
PA
05
—
0006584510010
—
PA
05
—
0006584510011
—
PA
05
—
0006584510012
—
PA
05
—
0006584510013
—
PA
05
—
0006584510014
—
PA
05
—
0006584510015
—
PA
05
—
0117359000
—
WV
05
—
0479692
—
OH
01
—
102375
HIGHMARK BS
PA
01
—
11320212
CAQH
PA
Enumeration date
01/25/2006
Last updated
04/03/2009
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