Individual
DR. UTSAV KETAN BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20801 BISCAYNE BLVD STE 203, AVENTURA, FL 33180-1492
(305) 682-2580
(305) 705-1677
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME160533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119832100
—
FL
Enumeration date
03/21/2017
Last updated
12/12/2023
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