Individual
SIDDHARTH BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, WP P915, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
32630
AL
Other
Enumeration date
07/19/2010
Last updated
01/12/2016
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