Individual
DR. MIMI G BANSAL X
Active
Individual
DR. MIMI G BANSAL X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
212266-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2529062
AETNA
NY
01
—
3C2836
HEALTHNET
NY
01
—
3K8631
EMPIRE BCBS
NY
01
—
P1916938
OXFORD
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
Update your record
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