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1902046493

NPI Code Detail

MEDICARE: MOHIT BANSAL MD

MEDICARE: MOHIT BANSAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD2010-0018	NM
2	207X00000X	Orthopaedic Surgery Physician	246504	NY
3	207X00000X	Orthopaedic Surgery Physician	ME110211	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00960351	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9858391	OTHER	FL	CIGNA HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	14E5A	OTHER	FL	BCBS OF FLORIDA
5	1085391	OTHER	FL	CAREPLUS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902046493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHIT BANSAL MD

Provider Business Mailing Address
First Line	:	1988 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3550
Country	:	US
Telephone Number	:	727-953-8090
Fax Number	:	727-953-8088

Provider Business Practice Location Address
First Line	:	1988 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3550
Country	:	US
Telephone Number	:	727-953-8090
Fax Number	:	727-953-8088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	06/30/2022

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Directions to “ MOHIT BANSAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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