Individual
PANKAJ BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502-3920
(757) 261-8070
(757) 995-7095
Mailing address
830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502-3920
(757) 261-8070
(757) 995-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101262964
VA
208M00000X
Hospitalist Physician
0101262964
VA
Other
Enumeration date
05/24/2007
Last updated
09/04/2020
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