Provider Demographics
NPI:1912571308
Name:BANSAL, RISHABH (MBBS)
Entity Type:Individual
Prefix:DR
First Name:RISHABH
Middle Name:
Last Name:BANSAL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W. BELEVEDERE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-7649
Mailing Address - Fax:410-601-6308
Practice Address - Street 1:2401 W. BELEVEDERE AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-7649
Practice Address - Fax:410-601-6308
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program