Bansal, Raj Kumari

Bansal, Raj Kumari is an sole proprietor health care provider with primary practice located at 226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as her primary health care specialty. Bansal, Raj Kumari can be contacted via phone (203) 384-3873.

Contact Information

Primary practice address
226 Mill Hill Ave 3Rd Floor Bridgeport CT 06610-2811
Phone: (203) 384-3873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 023303 Connecticut

Profile Details

NPI number 1033177936
LBN Legal business name Bansal, Raj Kumari
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Nov 3rd, 2014 - about 10 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 1033177936 NPPES
Connecticut MEDICAID 001233030

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