Sudeep Bansal (NPI# 1346437233, PAC ID# 5698829570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346437233 |
| PAC ID by PECOS | 5698829570 |
| Professional Enrollment ID | I20090811000582 |
| Full Name | Sudeep Bansal |
| Organization Legal Name | AVANTA CLINIC LLC |
| Address |
131 New London Tpke Suite 105 Glastonbury CT 06033-2246 |
| Phone Number | 8604305599 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931456894 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 131 New London Tpke, Suite 105, Glastonbury, CT 06033-2246 | 8604305599 | AVANTA CLINIC LLC |
| Organization Legal Name | AVANTA CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin J Bansal | Nurse Practitioner | Avanta Clinic LLC | 131 New London Tpke, Suite 105, Glastonbury, CT 06033-2246 |
| Street Address |
131 NEW LONDON TPKE SUITE 105 |
| City | GLASTONBURY |
| State | CT |
| Zip | 06033-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin F Egan | Clinical Social Worker | 131 New London Tpke, Suite 319, Glastonbury, CT 06033-2246 | |
| Marla Jan Colburn | Chiropractic | 131 New London Tpke, Suite 302, Glastonbury, CT 06033-2246 | |
| Carol Dudley | Clinical Social Worker | 131 New London Tpke, Suite 319, Glastonbury, CT 06033-2246 | |
| Robin J Bansal | Nurse Practitioner | Avanta Clinic LLC | 131 New London Tpke, Suite 105, Glastonbury, CT 06033-2246 |
| Marnie C Smith | Optometry | Connecticut Children's Specialty Group, Inc. | 131 New London Tpke, Suite 200, Glastonbury, CT 06033-2246 |
| Maria F Varela | Optometry | Connecticut Children's Specialty Group, Inc. | 131 New London Tpke, Suite 200, Glastonbury, CT 06033-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Molk | Ophthalmology | 257 New London Tnpk, Glastonbury, CT 06033 | |
| Jeannie M Kenkare | Family Medicine | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| David J Mccormick | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Alissa Umstead | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Riccardo I Ambrogio | Maxillofacial Surgery | 2928 Main St, Glastonbury, CT 06033-1007 | |
| David Kennedy | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Timothy L Durant | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
| Michael V Maiorino | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
| Justyna Pachowska | Physician Assistant | Ali Banki, D.o., P.C. | 2928 Main St, Suite 200, Glastonbury, CT 06033-1007 |
| Siobhan Collins | Dermatology | 2928 Main St, Suite 100, Glastonbury, CT 06033-1007 | |
| Find all physicians in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GLASTONBURY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sudeep Bansal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.