Individual
VIBHAV KRISHAN BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01070439A
IN
2084V0102X
Vascular Neurology Physician
01070439A
IN
2084V0102X
Vascular Neurology Physician
Primary
036136643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730337569
—
MI
Enumeration date
09/04/2008
Last updated
04/11/2024
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