GIRIDHARI L BANSAL


Address: 1520 S Dobson Rd, Ste 205, Mesa, AZ 85202-4726
Phone: 4809621808

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 6703 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 1520 S DOBSON RD
STE 205
City MESA
State AZ
Zip Code 85202-4726

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MESA
Zip Code 85202

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Dataset Information

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.

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