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	207Q00000X	Family Medicine Physician	N3476	TX
2	207P00000X	Emergency Medicine Physician	N3476	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942422852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHIT BANSAL MD

Provider Business Mailing Address
First Line	:	3139 W HOLCOMBE BLVD
Second Line	:	#672
City	:	HOUSTON
State	:	TX
Zip	:	77025-1533
Country	:	US
Telephone Number	:	832-592-7712
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 W HOLCOMBE BLVD
Second Line	:	#672
City	:	HOUSTON
State	:	TX
Zip	:	77025-1533
Country	:	US
Telephone Number	:	832-592-7712
Fax Number	:

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/27/2016

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Directions to “ MOHIT BANSAL MD” Practice Location

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