Individual
DR. LALIT RAJ BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0438318
KS
208000000X
Pediatrics Physician
2015029587
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0438318
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2015029587
MO
2084N0600X
Clinical Neurophysiology Physician
0438318
KS
2084N0600X
Clinical Neurophysiology Physician
2015029587
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2008
Last updated
02/05/2026
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