Basic Information
| Provider Information | |||||||||
| NPI: | 1023296209 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BANSAL | ||||||||
| FirstName: | DHRUV | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12330 METCALF AVE STE 580 | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662131308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8169323300 | ||||||||
| FaxNumber: | 8169325793 | ||||||||
| Practice Location | |||||||||
| Address1: | 12330 METCALF AVE STE 580 | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662131308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1869323300 | ||||||||
| FaxNumber: | 8169325793 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2008 | ||||||||
| LastUpdateDate: | 02/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 2013016982 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.