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Individual

PRANNAL BANSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
24 WILDWOOD PLACE CIR, LITTLE ROCK, AR 72223-8002
(859) 693-5253

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E-11648
AR
207L00000X
Anesthesiology Physician
Primary
ME162323
FL

Other

Enumeration date
08/07/2018
Last updated
10/23/2023
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