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Individual

ADITYA BANSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3966
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3966

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301080563
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD.205050
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD434336
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03805804
MS
05
2309200
LA
Enumeration date
05/24/2007
Last updated
10/12/2012
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