Individual
VISHAL BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-6070
(270) 326-6080
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-6070
(270) 326-6080
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10072348
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
59917
KY
Other
Enumeration date
01/11/2021
Last updated
06/10/2025
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