Bansal, Pardeep
Bansal, Pardeep is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-5595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bansal, Pardeep can be contacted via phone (321) 434-8078.Contact Information
Primary practice address
701 W Cocoa Beach Cswy
Cocoa Beach FL 32931-5595
Phone: (321) 434-8078
Fax: (321) 434-8075
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME164384 | Florida |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD437650 | Pennsylvania |
Profile Details
NPI number | 1750526141 |
---|---|
LBN Legal business name | Bansal, Pardeep |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2008 |
Last updated | Oct 2nd, 2023 - about last year |
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 | 1750526141 | NPPES |
Florida | MEDICAID | 119606200 | |
Florida | Other | RR373 | |
Florida | MEDICAID | 1023423400003 |
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