| Sudha Bansal MD PC | |
|
415 Mill Rd Adrian MI 49221-1764 | |
| (517) 264-5820 | |
| (517) 264-0311 |
| Full Name | Sudha Bansal MD PC |
|---|---|
| Speciality | General Practice |
| Location | 415 Mill Rd, Adrian, Michigan |
| Authorized Official Name and Position | Sudha Bansal (OWNER) |
| Authorized Official Contact | 5172645820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudha Bansal MD PC Po Box 1476 Adrian MI 49221-7476 Ph: (517) 264-5820 | Sudha Bansal MD PC 415 Mill Rd Adrian MI 49221-1764 Ph: (517) 264-5820 |
| NPI Number | 1174898498 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 03/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174898498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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