Individual
DR. GOLDY BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3911 CASTLEVALE RD, SUITE 201, YAKIMA, WA 98902-7807
(509) 454-9499
(509) 457-4994
Mailing address
PO BOX 996, HAYDEN, ID 83835-0996
(208) 664-4026
(208) 664-4840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60217451
WA
207RH0000X
Hematology (Internal Medicine) Physician
MD60217451
WA
207RX0202X
Medical Oncology Physician
Primary
MD60217451
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
06/30/2011
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