Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A101750 | CA |
Y | 111NI0900X | Internist | A101750 | CA |
NPI | 1003096777 |
---|---|
Provider Name | Dr. Ritu Bansal |
First Address | San Carlos, CA 94070-1606 |
Second Address | San Carlos, CA 94070-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 11/01/2022 |