Individual
SUDHIR BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 TOLLGATE ROAD, SUITE 309/310, WARWICK, RI 02886-4456
(401) 732-6828
(401) 223-3040
Mailing address
215 TOLLGATE ROAD, SUITE 309/310, WARWICK, RI 02886-4456
(401) 732-6828
(401) 223-3040
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
7603
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000020098001
BC
—
01
—
050461074
UHC
—
01
—
119020098
MEDICARE PIN
—
01
—
CPG002461001
BLUE CHIP
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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