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

GIRIDHARI L BANSAL, MD

Deactivated

Pediatrics · MESA, AZ

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1790789725
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2005 (0.78356164383562 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 21, 2006
License
6703 (AZ)

Practice Information

Address
1520 S DOBSON RD
STE 205
MESA, AZ, 852024726
Browse AZ providers · Browse ZIP 85202
Phone
4809621808
Fax
4809620738
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in MESA, AZ

Name Credential NPI
KARL M. BAUMGARTNER MD 1174522890
RICHARD OLIVER HECK MD 1306839584
DR. RUTH T. LIM M.D. 1871587998
MICHELLE DEWOLF ALLEN D.O. 1902896590
TRUPTI V AMIN-CHAPMAN M.D. 1164412854
KELLY F ENGLAND M.D. 1679563282
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.