Kannu Bansal, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
1174194419- Practice location
- 123 Summer St, Worcester, MA 01608-1216
- Phone
- 508-363-5000
- Fax
- —
- Last updated
- July 7, 2021
Kannu Bansal is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Kannu Bansal practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kannu Bansal is 1174194419 and holds a License No. 289300 (MA). The current practice location address for Kannu Bansal is 123 Summer St, Worcester, MA 01608-1216 and can be reached out via phone at 508-363-5000.
Provider Profile Details
- NPI Number
- 1174194419
- Provider Name
- Kannu Bansal
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 Summer St, Worcester, MA 01608-1216
- Phone Number
- 508-363-5000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2021
- Last Update Date
- July 7, 2021
- Certification Date
- July 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Summer St
Worcester, MA 01608-1216 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608-1216
- Phone Number
- 508-363-5000
Provider Business Mailing Address Details
- Address
- 123 Summer St
Worcester, MA 01608-1216 - City
- Worcester
- State
- MA
- Zip
- 01608-1216
- Phone Number
- 508-363-5000
License Information
- License Number
- 289300
- License State
- MA
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kannu Bansal, MD?
The NPI number of Kannu Bansal, MD is 1174194419. It was assigned on July 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Kannu Bansal, MD?
Kannu Bansal, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 289300.
Where does Kannu Bansal, MD practice?
The practice location is 123 Summer St, Worcester, MA 01608-1216. The office can be reached at 508-363-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174194419 directly on the NPPES registry website.