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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIDYA RAMAKRISHNAIAH BANSAL, MD

Active

Pediatrics · CLARKSVILLE, TN

Registration Details

NPI Number
1417149071
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2007 (18.68120510309 yrs)
Last Updated
Jun 21, 2018
Licenses
35 090073 (OH)
43833 (TN)

Practice Information

Address
111 OTIS SMITH DR
CLARKSVILLE, TN, 37043
Browse TN providers · Browse ZIP 37043
Phone
9315536666
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in CLARKSVILLE, TN

Name Credential NPI
SATISH D PRABHU M.D. 1295732436
GABRIELA T BOLIN MD 1881688661
LARRY M FAUST MD 1942295589
DAVID ENGLER MD 1609862176
LAURIE A HARRIS-FORD MD 1700867538
DR. WILLIAM W PRINE MD 1285615013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.