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Individual

VIPIN BANSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1640 E ROSEVILLE PKWY, SUITE 100, ROSEVILLE, CA 95661-3902
(916) 784-2277
(916) 932-1104
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G77285
CA
2085N0700X
Neuroradiology Physician
G77285
CA
2085N0904X
Nuclear Radiology Physician
G77285
CA
2085R0202X
Diagnostic Radiology Physician
G77285
CA
2085R0203X
Therapeutic Radiology Physician
G77285
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G77285
CA
2085R0205X
Radiological Physics Physician
G77285
CA
2085U0001X
Diagnostic Ultrasound Physician
G77285
CA

Other

Enumeration date
10/04/2005
Last updated
07/09/2015
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