Sudha Bansal MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUDHA BANSAL MD PC

Practice address

415 Mill Rd
Adrian, MI 49221-1764

Phone

(517) 264-5820

Fax

(517) 264-0311

NPI assigned

Mar 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sudha Bansal, M.D.

Title

Owner

Phone

(517) 264-5820

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1174898498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492217476",
            "telephone_number": "517-264-5820",
            "fax_number": "517-264-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MILL RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211764",
            "telephone_number": "517-264-5820",
            "fax_number": "517-264-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA BANSAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-264-5820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Stotz, OTR/L
• Michael Studnicka, PT
• Patricia Mead Studnicka, LBSW
• Collin Stump, DPT
• Morgan Stutz, DPT
• Aaron Suganuma, LLMSW
• Tyler Sullivan
• Suydam Chiropractic and Nutritional Wellness PLLC
• Tayler Suydam, D.C
• Leanne Marie Svoboda

• General Practice Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.