POONAM BANSAL (NPI# 1891049094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891049094 |
| Entity Type | Individual |
| Full Name | POONAM BANSAL |
| Credential | M.D. |
| Practice Address |
2799 West Grand Boulevard Henry Ford Hospital Detroit MI 48202-2608 |
| Mailing Address |
2799 W. Grand Boulevard Henry Ford Hospital Detroit MI 48202 |
| Practice Telephone | 3139169454 |
| Mailing Telephone | 3139169454 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301099726 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2799 WEST GRAND BOULEVARD HENRY FORD HOSPITAL |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528077567 | Sampath Ramachandran | Radiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-07 |
| 1124558333 | Kemal Bahcheli | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulevard, Medical Education Department, Detroit, MI 48202-2608 | 2017-06-20 |
| 1982137188 | Kathleen Estrada | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulevard, Medical Education Department Henry Ford Hospital, Detroit, MI 48202 | 2017-04-05 |
| 1558817734 | Sarah Lozon | Nurse Practitioner | 2799 West Grand Boulevard, Detroit, MI 48202 | 2016-08-29 |
| 1265849848 | Kazuhiro Takahashi | Transplant Surgery | 2799 West Grand Boulevard, Detroit, MI 48202 | 2014-07-16 |
| 1306106885 | Ibidola Owaduge | Anesthesiology | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2012-05-18 |
| 1639451545 | Farah Hanif Ali Mohammad | Surgery | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202 | 2011-09-16 |
| 1154641280 | Lindsay F Petersen | Surgery | 2799 West Grand Boulevard, Cfp 369, Detroit, MI 48202 | 2010-06-11 |
| 1477872976 | April Ann Hom | Family Medicine | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2010-05-24 |
| 1295961605 | Maxime Madhere | Anesthesiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779678 | Otis B. Ferguson IIi Md PC | Ophthalmology | 7633 East Jefferson, Suite 120, Detroit, MI 48214 | 2006-10-04 |
| 1912008566 | Dennis C Woods Sr. | Ophthalmology | 4727 St Antoine St, Suite 207, Detroit, MI 48201 | 2006-09-26 |
| 1689685976 | Associated Eye Institutes of Detroit, PC | Ophthalmology | 65 Cadillac Sq, Ste 105, Detroit, MI 48226-2844 | 2006-08-11 |
| 1245248129 | W Anthony Greer | Ophthalmology | 7733 East Jefferson, Detroit, MI 48214 | 2006-08-04 |
| 1952348443 | Gabriel Sosne | Ophthalmology | 4717 St Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-06-01 |
| 1609813120 | Anju Goyal | Ophthalmology | Kresge Eye Institute, 4717 St Antoine, Detroit, MI 48201 | 2006-06-01 |
| 1053388074 | William Robert Lucas Jr. | Ophthalmology | 4717 Saint Antoine St, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-03-08 |
| 1932185089 | Evan H Black | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2005-12-21 |
| 1033104773 | Daniel Seth Zuckerbrod | Ophthalmology | 14400 West Mcnichols, Detroit, MI 48235-3916 | 2005-09-20 |
| 1235796780 | John Michael Guest | Ophthalmology | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2019-05-21 |
| Find all providers in DETROIT | ||||
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| 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.