Dr Rahul Bansal, MD | |
24b Professional Park Dr, Maryville, IL 62062 | |
(636) 422-0016 | |
(636) 431-3513 |
Full Name | Dr Rahul Bansal |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 24b Professional Park Dr, Maryville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841407160 | NPI | - | NPPES |
Entity Name | Granite City Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387957 PECOS PAC ID: 6406747906 Enrollment ID: O20040323001668 |
Mailing Address | Practice Location Address |
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Dr Rahul Bansal, MD 24b Professional Park Dr, Maryville, IL 62062-5856 Ph: () - | Dr Rahul Bansal, MD 24b Professional Park Dr, Maryville, IL 62062 Ph: (636) 422-0016 |
Thena Gidget Poteat, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6805 State Route 162 Ste 201, Maryville, IL 62062 Phone: 618-288-5189 | |
Riaz A Naseer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6828 State Route 162, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914 | |
Syed S Ali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6828 State Route 162, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914 | |
Dr. Sanjay K Nigam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162, Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-288-5059 |