Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2013016982 | MO |
NPI | 1023296209 |
---|---|
Provider Name | Dr. Dhruv Bansal |
First Address | Overland Park, KS 66213-1308 |
Second Address | Overland Park, KS 66213-1308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2008 |
Last Update Date | 01/02/2022 |