GIRIDHARI L BANSAL (NPI# 1790789725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790789725 |
Entity Type | Individual |
Full Name | GIRIDHARI L BANSAL |
Other Name | G L BANSAL |
Credential | MD |
Practice Address |
1520 S Dobson Rd Ste 205 Mesa AZ 85202-4726 |
Practice Telephone | 4809621808 |
Practice Fax Number | 4809620738 |
Mailing Telephone | 4809621808 |
Mailing Fax Number | 4809620738 |
Enumeration Date | 2005-06-08 |
Last Update Date | 2007-07-08 |
NPI Deactivation Date | 03/21/2006 |
NPI Reactivation Date | 2006-04-18 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 6703 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
1520 S DOBSON RD STE 205 |
City | MESA |
State | AZ |
Zip Code | 85202-4726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689129769 | Svetlana Pedenko Md PC | Internal Medicine | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2016-08-18 |
1801245154 | Megan Milleen Smith | Nurse Practitioner | 1520 S Dobson Rd, Ste #203, Mesa, AZ 85202-4725 | 2016-06-07 |
1023476819 | Alisha Zimmer | Nurse Practitioner | 1520 S Dobson Rd, Suite 209, Mesa, AZ 85202-4725 | 2016-02-08 |
1043645617 | Kevin M Warren | Physician Assistant | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-09-13 |
1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
1104267780 | Jacob H Nelson | Podiatrist | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2013-07-11 |
1730462235 | Tamar K Gottfried Md, Plc | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-21 |
1871875047 | Az Obstetrics & Gynecology, LLC | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-14 |
1164721742 | Jigar Maheshkumar Rathod | Psychiatry & Neurology | 1520 S Dobson Rd, Ste 203, Mesa, AZ 85202-4725 | 2011-03-22 |
1811212822 | Colorado Spine Inovations | Durable Medical Equipment & Medical Supplies | 1520 S Dobson Rd, Suite 211, Mesa, AZ 85202-4725 | 2010-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295250009 | Pleasant Pediatrics Plc | Pediatrics | 421 W Brown Rd, Mesa, AZ 85201-3336 | 2017-08-14 |
1407285307 | Noel John M. Carrasco | Pediatrics | 6540 E Redmont Dr, #14, Mesa, AZ 85215-1088 | 2013-11-01 |
1609171115 | Marc Andrew Ellsworth | Pediatrics | 4107 E Grove Cir, Mesa, AZ 85206-3313 | 2011-01-13 |
1033422571 | Eric Gabriel Gonzalez | Pediatrics | 616 E Southern Ave, #103, Mesa, AZ 85204 | 2010-07-26 |
1033388780 | Jyoti S. Lebonheur | Pediatrics | 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 | 2008-02-27 |
1265619373 | Anthony Ikechukwu Ani | Pediatrics | 1400 S Dobson Rd Fl 5, Mesa, AZ 85202-4707 | 2008-01-31 |
1235316175 | Bernadette R Rosenberg | Pediatrics | 815 E University Dr, Mesa, AZ 85203-8032 | 2008-01-23 |
1477748259 | Ayah Yousif Elmaghrabi | Pediatrics | 1367 S Country Club Dr Unit 1072, Mesa, AZ 85210-5289 | 2007-09-13 |
1578763751 | Melanie Alarcio | Pediatrics | 2812 N Norwalk Ste 10-119, Mesa, AZ 85215-1148 | 2007-07-25 |
1164621470 | Ruben Omar Espinoza | Pediatrics | 1950 S. Country Club Suite 101, Mesa, AZ 85210-6871 | 2007-07-16 |
Find all providers in MESA |
Please comment or provide details below to improve the information on GIRIDHARI L BANSAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.