Bansal, Raj Kumar
Bansal, Raj Kumar is an individual health care provider with primary practice located at 870 Crestmark Dr Ste 201, Lithia Springs GA 30122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Bansal, Raj Kumar can be contacted via phone (770) 739-5242.Contact Information
Primary practice address
870 Crestmark Dr Ste 201
Lithia Springs GA 30122
Phone: (770) 739-5242
Fax: (770) 739-5204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 048412 | Georgia |
Profile Details
| NPI number | 1386617603 |
|---|---|
| LBN Legal business name | Bansal, Raj Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 24th, 2016 - about 8 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 | 1386617603 | NPPES |
| Georgia | MEDICAID | 00864421E |
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