Krishan K Bansal, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD036308L Issued in PA

Practice address

Omhsas, Administration BLDG 11
Harrisburg, PA 17105-2675

Phone

(717) 772-7316

Fax

(717) 772-7699

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Medical Associates PC

  • Internal Medicine Physician
  • Fort Washington, PA
  • NPI 1407806003
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952446379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GINGER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507988",
            "telephone_number": "717-691-7377",
            "fax_number": "717-772-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OMHSAS, ADMINISTRATION BLDG 11",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171052675",
            "telephone_number": "717-772-7316",
            "fax_number": "717-772-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "KRISHAN",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD036308L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Ball, PA-C
• Jessica Baltimore
• William L Bambach, D.O.
• Dennis Ray Banducci, MD
• Subhra Banerjee, M.D.
• Sadia N. Baqai, M.D.
• Aaron Charles Barasch, DO
• Shirley C Barbarulo, PA-C
• Claire Barber, MD
• Schyuler Barbour, NP

• Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.