Individual
PRIYA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 WARREN AVE, SUITE 400, EAST PROVIDENCE, RI 02914-1430
(401) 331-1221
(401) 751-8003
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13035
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001393501
MEDICARE
—
05
—
PM78807
—
RI
Enumeration date
08/22/2006
Last updated
04/02/2024
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