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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1811903222 NPPES
Florida MEDICAID 276777500

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