Individual
DR. GIRRAJ KISHORE BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1649 BRICE ROAD, SUITE A, REYNOLDSBURG, OH 43068-2796
(614) 864-3434
(614) 864-8811
Mailing address
1649 BRICE ROAD, SUITE A, REYNOLDSBURG, OH 43068-2796
(614) 864-3434
(614) 864-8811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536950
—
OH
Enumeration date
07/31/2006
Last updated
09/25/2012
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