Bansal, Sudha

Bansal, Sudha is an individual health care provider with primary practice located at 415 Mill Rd , Adrian MI 49221-1764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bansal, Sudha can be contacted via phone (517) 264-5820.

Contact Information

Primary practice address
415 Mill Rd Adrian MI 49221-1764
Phone: (517) 264-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301404631 Michigan

Profile Details

NPI number 1922053008
LBN Legal business name Bansal, Sudha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922053008 NPPES
Michigan MEDICAID 4500632

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