Bansal, Manish Kumar
Bansal, Manish Kumar is an individual health care provider with primary practice located at 1305 Ocilla Rd , Douglas GA 31533-2209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bansal, Manish Kumar can be contacted via phone (912) 384-0600.Contact Information
Primary practice address
1305 Ocilla Rd
Douglas GA 31533-2209
Phone: (912) 384-0600
Fax: (912) 384-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME96157 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME96157 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME96157 | Florida |
Profile Details
| NPI number | 1811903222 |
|---|---|
| LBN Legal business name | Bansal, Manish Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 23rd, 2022 - about 3 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 | 1811903222 | NPPES |
| Florida | MEDICAID | 276777500 |
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