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Individual

DR. KAVITA BANSIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039597
LABOR AND INDUSTRIES #
WA
01
1334BA
BLUE SHIELD #
WA
05
2020964
WA
05
OD533WA
AK
01
US2335669
AETNA SPECIALIST PIN
WA
Enumeration date
01/15/2007
Last updated
04/01/2021
Update your record

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