Individual
PRACHI BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(480) 985-1093
(480) 296-7665
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
282131
NY
207R00000X
Internal Medicine Physician
S8143
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
57946
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
S8143
TX
Other
Enumeration date
03/05/2014
Last updated
09/25/2023
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