Bansal, Jagdish
Bansal, Jagdish is an individual health care provider with primary practice located at 1807 Randall Ave , Bronx NY 10473-3617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bansal, Jagdish can be contacted via phone (718) 842-3812.Contact Information
Primary practice address
1807 Randall Ave
Bronx NY 10473-3617
Phone: (718) 842-3812
Fax: (718) 842-3828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 111144 | New York |
Profile Details
| NPI number | 1518926724 |
|---|---|
| LBN Legal business name | Bansal, Jagdish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 25th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518926724 | NPPES |
| New York | MEDICAID | 00199106 |
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