Doctor Name: | DR. SURINDER K BANSAL |
NPI Number: | 1033266804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35036799 |
Business Practice Address: | 658 W Market St Lima, OH - 458014653 |
Business Phone Number: | 4192223386 |
Business Fax Number: | 4192247716 |
Mailing Address: | 658 W Market St, LIMA |
State: | OH |
Postal Code: | 458014653 |
Phone Number: | 4192223386 |
Fax Number: | 4192247716 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 35036799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |