Individual
SANDEEP BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
217 HARRISBURG AVENUE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603
(717) 544-8300
(717) 544-8265
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD451201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054034000
—
MD
05
—
1029119540001
—
PA
Enumeration date
10/03/2006
Last updated
06/08/2021
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