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Divya Bansal, DO
Student in an Organized Health Care Education/Training Program in Montgomery, Alabama
NPI 1619369774

Divya Bansal is a Student in an Organized Health Care Education/Training Program based in Montgomery, AL. Divya Bansal practices in Montgomery, AL and has the professional credentials of DO. The NPI Number for Divya Bansal is 1619369774 and holds a License No. L.4102R (Alabama).

The current practice location address for Divya Bansal is 4371 Narrow Lane Rd Ste 100, Montgomery, AL and can be reached out via phone at 334-613-3680 and via fax at 334-613-3685.

Location: 4371 Narrow Lane Rd Ste 100, Montgomery, AL, 36116-2975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619369774
Provider Name
Divya Bansal
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4371 Narrow Lane Rd Ste 100, Montgomery, AL, 36116-2975
Phone Number
334-613-3680
Fax Number
334-613-3685
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4371 Narrow Lane Rd Ste 100
City
Montgomery
State
Alabama
Zip
36116-2975
Phone Number
334-613-3680
Fax Number
334-613-3685
person
Provider Business Mailing Address Details
Address
4371 Narrow Lane Rd Ste 100
City
Montgomery
State
Alabama
Zip
36116-2975
Phone Number
334-613-3680
Fax Number
334-613-3685
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
L.4102R (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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