Bansal, Pradeep

Bansal, Pradeep is an sole proprietor health care provider with primary practice located at 2000 N Village Ave Ste 411 , Rockville Centre NY 11570-1001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bansal, Pradeep can be contacted via phone (516) 593-4451.

Contact Information

Primary practice address
2000 N Village Ave Ste 411 Rockville Centre NY 11570-1001
Phone: (516) 593-4451
Fax: (516) 593-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 192386 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1923861 New York

Profile Details

NPI number 1457339053
LBN Legal business name Bansal, Pradeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Jul 19th, 2019 - about 5 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 1457339053 NPPES
New York MEDICAID 01717284

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