| Doctor Name: | RAJ KUMAR BANSAL |
| NPI Number: | 1386617603 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 048412 |
| Business Practice Address: | 870 Crestmark Dr Ste 201 Lithia Springs, GA - 30122 |
| Business Phone Number: | 7707395242 |
| Business Fax Number: | 7707395204 |
| Mailing Address: | 870 Crestmark Dr, Ste 201 LITHIA SPRINGS |
| State: | GA |
| Postal Code: | 30122 |
| Phone Number: | 7707395242 |
| Fax Number: | 7707395204 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VM0101X |
| License Number: | 048412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Maternal & Fetal Medicine |
| Taxonomy Definition: | An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |